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Group B streptococcus endocarditis following second-trimester abortion.

M L Atri1, D H Cohen

  • 1Department of Internal Medicine, St. John's Episcopal Hospital, Far Rockaway, NY.

Archives of Internal Medicine
|December 1, 1990
PubMed
Summary
This summary is machine-generated.

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Group B Streptococcus endocarditis is a rare complication following abortion, even in young, healthy individuals. Prompt antibiotic treatment with penicillin and gentamicin led to a full recovery.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Obstetrics & Gynecology

Background:

  • Group B Streptococcus (GBS) endocarditis is uncommon, typically affecting immunocompromised individuals with comorbidities.
  • Pregnancy and abortion are rare risk factors for developing GBS endocarditis.

Observation:

  • An 18-year-old woman with no prior health issues developed GBS endocarditis after a second-trimester abortion.
  • The endocarditis presented with a large vegetation on a normal tricuspid valve, accompanied by polyarthritic symptoms and pulmonary emboli.

Findings:

  • Intravenous penicillin G potassium combined with gentamicin sulfate successfully treated the endocarditis.
  • Clinical isolates may exhibit tolerance to antibiotics, necessitating careful therapeutic planning.

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Implications:

  • This case highlights the potential for GBS endocarditis in young, otherwise healthy women post-abortion.
  • Management requires consideration of antibiotic tolerance and potential need for surgical intervention in select cases.