A case of Salmonella typhi endocarditis in pregnancy. 2009

Orhan Ozer, and Fatma Bahar Cebesoy, and Ibrahim Sari, and Vedat Davutoglu
Department of Cardiology, Gaziantep University, School of Medicine, Gaziantep, Turkey. oozer@gantep.edu.tr

Infective endocarditis (IE) is an uncommon but life-threatening infection during pregnancy. Although there have been several reports of endocarditis caused by Salmonella typhi, to our knowledge it has not been reported as a cause of endocarditis during pregnancy. We report a case of 27-year-old pregnant woman with aortic valve IE caused by S. typhi, who had moderate mitral stenosis and aortic regurgitation. During pregnancy, fever, increase in sedimentation should always alert the physician about the possibility of IE, especially in the presence of predisposing clinical conditions. Whenever possible, transesophageal echocardiographic evaluation should be performed because transthoracic echocardiography might not always demonstrate vegetation as in the present case.

UI MeSH Term Description Entries
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011251 Pregnancy Complications, Infectious The co-occurrence of pregnancy and an INFECTION. The infection may precede or follow FERTILIZATION. Complications, Infectious Pregnancy,Infectious Pregnancy Complications,Maternal Sepsis,Pregnancy, Infectious Complications,Sepsis during Pregnancy,Sepsis in Pregnancy,Infectious Pregnancy Complication,Pregnancy Complication, Infectious,Sepsis in Pregnancies,Sepsis, Maternal
D004697 Endocarditis, Bacterial Inflammation of the ENDOCARDIUM caused by BACTERIA that entered the bloodstream. The strains of bacteria vary with predisposing factors, such as CONGENITAL HEART DEFECTS; HEART VALVE DISEASES; HEART VALVE PROSTHESIS IMPLANTATION; or intravenous drug use. Bacterial Endocarditides,Bacterial Endocarditis,Endocarditides, Bacterial
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012485 Salmonella typhi A serotype of SALMONELLA ENTERICA which is the etiologic agent of TYPHOID FEVER. Salmonella enterica serovar Typhi,Salmonella typhosa

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