A rare cause of native tricuspid valve endocarditis: Abortus

Abstract

A 28-year-old female patient, who at her 7 weeks of pregnancy, admitted to hospital with abdominal pain and vaginal bleeding. She had been hospitalized in another center with the diagnosis of spontaneous complete abortion. After discharge, her clinical process, deteriorated due to fever, chills and fatigue there-fore she had been admitted to emergency unit of that hospital once again, and received non-specific anti-biotics. She was referred to our clinic because of persistant complaints. Transthoracic echocardiography showed vegetations on the tricuspid valve leading to diagnosis of infective endocarditis, so treatment was started at our clinic. No microorganism isolated in blood cultures. Following 15-days antibiotic therapy no reduction was seen in the diameter of the vegetation, therefore surgical operation was planned and a bio-prosthetic tricuspid valve was put into place. In this article we aimed to report the development of sponta-neous abortus at 7 weeks of pregnancy, in order to emphasize that tricuspid valve endocarditis can be developed secondary to very rare causes.

Keywords

• Tricuspide valve, endocarditis, abortus, echocardiography

Doğal triküspit kapak endokarditinin nadir bir nedeni: Düşük

Öz

Gebeliğinin 7. Haftasında olan 28 yaşındaki kadın hasta karın ağrısı ve vajinal kanama şikâyetiyle baş-vurduğu başka bir merkezde spontan komplet abortus tanısıyla yatarak tedavi edilmiştir. Takip eden sü-reçte ateş, üşüme, titreme ve halsizlik yakınmalarının ortaya çıkmasıyla tekrar aynı merkeze başvurmuş. Hastaya bu kez nonspesifik antibiyotik tedavisi uygulanmış. Ancak şikâyetlerinin devam etmesi nedeniyle kliniğimize sevk edilmişti. Yapılan transtorasik ekokardiyografide triküspit kapakta vejetasyon saptanması üzerine infektif endokardit tanısı konarak, kliniğimizde tedavisine başlandı. Kan kültürlerinde üreme olma-dı. Takip eden süreçte 15 günlük antibiyotik tedavisine rağmen vejetasyon çapının küçülmemesi üzerine operasyon kararı alındı ve triküspit kapağa biyoprotez uygulandı. Bu makalede gebeliğin 7. haftasında gelişen spontan abortus sonrası triküspit kapak infektif endokarditi olgusu sunularak, triküspit kapak endokarditinin çok nadir görülen nedenlerle de gelişebileceğini vurgulamayı amaçladık.

Anahtar Kelimeler

• Triküspit kapak endokarditi, abortus, ekokardiyografi

Kaynakça

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