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首页> 外文期刊>Obstetric medicine >Group B Streptococcus tricuspid valve endocarditis with subsequent septic embolization to the pulmonary artery: A case report following elective abortion
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Group B Streptococcus tricuspid valve endocarditis with subsequent septic embolization to the pulmonary artery: A case report following elective abortion

机译：B组链球菌特异性瓣膜内膜炎随后脓毒症栓塞到肺动脉：选修流产后的病例报告

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Background: Tricuspid valve endocarditis caused by Group B streptococcus is a rare clinical entity with poor prognosis and has been previously reported following gynecologic procedures. Case summary: We report a case of an 18-year-old female diagnosed with Group B streptococcus tricuspid valve endocarditis with septic emboli following an elective therapeutic abortion. After six weeks of treatment with ceftriaxone, she returned with recurrent symptoms and was found to have embolized a sizable vegetation to the pulmonary artery with probable lung infarction. She underwent surgical embolectomy and was treated with antibiotics and anticoagulation and was subsequently discharged in stable condition. Conclusion: Group B streptococcus endocarditis is a serious complication of gynecologic procedures. The role of preoperative antibiotics, postoperative clinical suspicion of endocarditis based on respiratory symptoms and a multidisciplinary approach may lead to enhanced patient outcomes.
机译：背景：B组链球菌引起的Tricuspid阀心内膜炎是一种罕见的临床实体，预后差，之前已经报告过妇科手术。 案例摘要：我们报告了一个18岁女性的案例，诊断出B组链球菌特异性瓣膜内腔细胞炎，其在选修治疗性堕胎后患有脓毒症栓塞。 在用头孢曲松治疗六周后，她患有复发症状，发现已经将相当大的植被栓塞到具有可能肺部梗死的肺动脉。 她接受了外科栓塞术，并用抗生素和抗凝血治疗，随后在稳定的情况下排出。 结论：B组链球菌心内膜炎是妇科手术的严重并发症。 术前抗生素的作用，基于呼吸系统症状的心内膜炎的术后临床怀疑和多学科方法可能导致增强患者结果。

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