Group B streptococcus endocarditis following second-trimester abortion.

An 18-year-old woman who underwent an elective second-trimester abortion developed Streptococcus agalactiae (group B streptococcus) endocarditis characterized by a large, pedunculated vegetation involving a previously normal tricuspid valve. Polyarthritic symptoms, as well as multiple pulmonary emboli, were experienced, and cure followed a course of treatment using intravenous penicillin G potassium combined with gentamicin sulfate. Endocarditis caused by this pathogen usually occurs among individuals compromised by underlying chronic disorders and, today, is a rare sequela of pregnancy and abortion. When planning therapy, consideration should be given to the possibility of tolerance among clinical isolates and the need for operative intervention in selected patients.

[1]  P. Gallagher,et al.  Group B streptococcal endocarditis: report of seven cases and review of the literature, 1962-1985. , 1986, Reviews of infectious diseases.

[2]  D. Durack,et al.  Infective endocarditis in obstetric and gynecologic practice. , 1986, American journal of obstetrics and gynecology.

[3]  T. Meyer.  Prophylactic Hypomagnesemia During Cisplatin Therapy-Reply , 1985 .

[4]  J. Mancebo,et al.  Group B streptococcal infective endocarditis. , 1985, Archives of internal medicine.

[5]  D. Sexton,et al.  Pregnancy‐Associated Group B Streptococcal Endocarditis: A Report of Two Fatal Cases , 1985, Obstetrics and gynecology.

[6]  Grimes Da,et al.  Morbidity and mortality from second-trimester abortions. , 1985 .

[7]  P. Gallagher,et al.  Group B streptococcal bacteremia in a community teaching hospital. , 1985, The American journal of medicine.

[8]  W. Wilson,et al.  Group B streptococcal infective endocarditis. , 1985, Archives of internal medicine.

[9]  A. Bisno,et al.  Prevention of Bacterial Endocarditis. A statement for health professionals by the Committee on Rheumatic Fever and Infective Endocarditis of the Council on Cardiovascular Disease in the Young. , 1984, Circulation.

[10]  R. Burkman,et al.  Use of osmotic dilators to facilitate induced midtrimester abortion: clinical evaluations. , 1984, Contraception.

[11]  K. Kim,et al.  Penicillin tolerance in group B streptococci isolated from infected neonates. , 1981, The Journal of infectious diseases.

[12]  C. Hobel,et al.  Genital and Intestinal Carriage of Group B Streptococci During Pregnancy , 1981 .

[13]  L. Gentry,et al.  Malignant group B streptococcal endocarditis associated with saline-induced abortion. , 1979, Chest.

[14]  A. Murcia,et al.  Group B streptococcus endocarditis in a prosthetic valve. , 1978, Archives of internal medicine.

[15]  C. Kauffman,et al.  Streptococcal endocarditis initially seen as septic arthritis. , 1978, Archives of internal medicine.

[16]  E. Wolinsky,et al.  GROUP B STREPTOCOCCUS (S. AGALACTIAE) BACTEREMIA IN ADULTS: ANALYSIS OF 32 CASES AND REVIEW OF THE LITERATURE , 1977, Medicine.

[17]  A. Chow,et al.  Serious infections in adults due to group B streptococci. Clinical and serotypic characterization. , 1976, The American journal of medicine.

[18]  M. Patterson,et al.  Group B streptococci in human disease. , 1976, Bacteriological reviews.

[19]  N. Concepcion,et al.  Group B streptococcus in a general hospital. , 1975, The Journal of infectious diseases.

[20]  M. Finland,et al.  NEONATAL SEPSIS AND OTHER INFECTIONS DUE TO GROUP B BETA-HEMOLYTIC STREPTOCOCCI. , 1964, The New England journal of medicine.