Group B Streptococcal Endocarditis in Obstetric andGynecologic Practice

[摘要] Background:We describe a case and review ten other instances of group B streptococcal endocarditis in thesetting of obstetric and gynecologic practice reported since the last review in 1985.Case:Abortion remains a common antecedent event, but in contrast to earlier reports, most patients did not haveunderlying valvular disease, the tricuspid valve was most often involved, and mortality was low. Patients withtricuspid valve infection tended to have a subacute course, whereas those with aortic or mitral involvement typicallyhad a more acute, fulminant course.Conclusion:Despite an improvement in mortality, morbidity remains high, with 8 of 11 patients having clinicallysignificant emboli.

[学科分类] 妇产科学