Key result
A 33-year-old pregnant woman with multivalvular infective endocarditis and septic pulmonary emboli responded well to a non-elective caesarean section and a 6-week course of intravenous antibiotics.
Case Report (n=1)
This case demonstrates the successful management of severe multivalvular infective endocarditis complicated by septic pulmonary emboli in late pregnancy via prompt delivery and intravenous antibiotics.
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May prompt endocarditis consideration in peripartum septic emboli; leaves open optimal management strategies.
A 33-year-old woman presented at 36 weeks gestation with worsening respiratory distress. A CT-pulmonary angiogram was performed to rule out a massive pulmonary embolism; instead, this identified extensive septic pulmonary emboli throughout both lung fields. Given the continuing maternal deterioration, a non-elective caesarean section was performed. A transoesophageal echocardiogram identified multiple large cardiac valve vegetations on both sides of her heart with an associated aortic root abscess. She responded well to a 6-week course of intravenous antibiotics.
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English et al. (2015) conducted a case report in Multivalvular infective endocarditis with septic pulmonary emboli (n=1). Intravenous antibiotics and non-elective caesarean section was evaluated on Clinical response. A 33-year-old pregnant woman with multivalvular infective endocarditis and septic pulmonary emboli responded well to a non-elective caesarean section and a 6-week course of intravenous antibiotics.
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