MRSA endocarditis after septic abortion with stroke, endophthalmitis and myometrial vascular abnormality

We report the case of a woman in her 20s who presented to the emergency department with fever, reduced vision and hemiparesis. She had experienced an incomplete spontaneous abortion 1 month prior at 8 weeks of gestation for which she underwent dilation and curettage. MRI of the brain revealed multiple embolic strokes. Blood cultures confirmed methicillin-resistant Staphylococcus aureus Cardiac imaging identified a vegetation on the mitral valve. Persistent vaginal bleeding with associated hypotension prompted further evaluation, leading to the detection of enhanced myometrial vascularity with an intracavitary aneurysm. Glue embolisation was performed, resulting in the complete cessation of bleeding and the patient recovered well following targeted intravenous antibiotic therapy. Prompt diagnosis, multidisciplinary management and targeted antibiotic therapy were crucial in achieving a favourable outcome.