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Infectious Diseases in Obstetrics and Gynecology
Volume 2006, Article ID 43253, 3 pages
http://dx.doi.org/10.1155/IDOG/2006/43253
Case Report

Tricuspid Valve Endocarditis With Group B Streptococcus After an Elective Abortion: The Need for New Data

Division of Infectious Diseases, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Becker 220, Los Angeles, CA 90048, USA

Received 6 June 2006; Accepted 14 July 2006

Copyright © 2006 Erica E. Palys et al. 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

Streptococcus agalactiae, commonly known as Group B streptococcus (GBS), was originally discovered as a cause of bovine mastitis. GBS colonizes the genital tract of up to 40% of women and has become a major pathogen in neonatal meningitis. GBS endocarditis is thought to be an uncommon manifestation of this infection and carries a higher mortality compared to other streptococcal pathogens. Studies have shown that endocarditis after abortion has an incidence of about one per million. However, this figure was published prior to routine use of echocardiography for diagnosis. The American Heart Association has recently declared transesophageal echocardiography the gold standard for endocarditis diagnosis. This case report illustrates that, given the potentially devastating consequences of endocarditis, there is a need for updated studies to adequately assess the true incidence of this infection. Pending the outcome of these studies, routine GBS screening and prophylactic antibiotics prior to abortion should be recommended.