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Neisseria sicca endocarditis complicating pregnancy. A case report
1Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia 19104.
The Journal of Reproductive Medicine
|May 1, 1992
Summary
Neisseria sicca endocarditis is rare, especially during pregnancy. This case highlights successful maternal and fetal outcomes despite diagnostic delays, showcasing effective treatment for this unusual infection.
Area of Science:
- Microbiology
- Infectious Diseases
- Obstetrics and Gynecology
Background:
- Neisseria sicca is a common oral bacterium, typically a commensal organism.
- Bacterial endocarditis caused by N. sicca is exceptionally rare in medical literature.
- Pregnancy presents unique physiological challenges that can alter susceptibility to infections.
Observation:
- A pregnant woman at 32 weeks' gestation presented with symptoms suggestive of bacterial endocarditis.
- Diagnosis of N. sicca endocarditis was initially delayed.
- The patient received appropriate antimicrobial therapy.
Findings:
- The pregnant patient was diagnosed with Neisseria sicca endocarditis.
- Despite delayed diagnosis and treatment, the mother experienced a favorable outcome.
- The fetus also showed excellent outcomes, with no adverse effects noted.
Implications:
- This case underscores that even rare pathogens like Neisseria sicca can cause serious infections such as endocarditis in pregnant women.
- Prompt diagnosis and treatment are crucial for successful management of bacterial endocarditis in pregnancy.
- The case suggests that pregnant women with N. sicca endocarditis can achieve excellent maternal and fetal outcomes with timely intervention.