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Infectious Diseases in Obstetrics and Gynecology
Volume 11, Issue 2, Pages 109-115
http://dx.doi.org/10.1080/10647440300025507

Group B Streptococcal Endocarditis in Obstetric and Gynecologic Practice

Section of Infectious Diseases, Department of Medicine, Temple University School of Medicine and Hospital, Broad and Ontario Streets, Philadelphia 19140, PA, USA

Received 7 February 2003; Accepted 6 May 2003

Copyright © 2003 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: We describe a case and review ten other instances of group B streptococcal endocarditis in the setting of obstetric and gynecologic practice reported since the last review in 1985.

Case: Abortion remains a common antecedent event, but in contrast to earlier reports, most patients did not have underlying valvular disease, the tricuspid valve was most often involved, and mortality was low. Patients with tricuspid valve infection tended to have a subacute course, whereas those with aortic or mitral involvement typically had a more acute, fulminant course.

Conclusion: Despite an improvement in mortality, morbidity remains high, with 8 of 11 patients having clinically significant emboli.