Parenteral antibiotics and vasodilator therapy successfully treated Group B streptococcal tricuspid valve endocarditis and associated left ventricular dysfunction following dilation and curettage.
May support medical management of post-D&C GBS tricuspid endocarditis with LV dysfunction; hypothesis-generating and requires prospective validation.
A patient developed fever, chills, and shortness of breath after an elective first trimester dilation and curettage. Blood cultures grew Group B streptococcus, and a transesophageal echocardiogram revealed a 2 x 2 cm vegetation on the tricuspid valve and global left ventricular hypokinesis. A 6-week course of parenteral antibiotics and vasodilator therapy resulted in resolution of the valvular vegetation as well as of the left ventricular dysfunction.
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Kangavari et al. (2000) studied this question.
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