Multivalvular infective endocarditis in pregnancy presenting with septic pulmonary emboli. (7th May 2015)

• Record Type: Journal Article
• Authors: English, Nicola; Weston, Polly
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-05-07
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-209131
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.