Peripartum native valve endocarditis without underlying risk factors

Abstract

Infective endocarditis (IE) complicating pregnancy though rare is associated with adverse maternal and fetal outcome. Due to its rarity and varied presentation, literature on IE complicating pregnancy is sparse. We report a case of IE complicating pregnancy caused by methicillin-resistant Staphylococcus aureus (MRSA) in a healthy pregnant lady without any known risk factors. This is the first documented case of IE complicating pregnancy without any underlying risk factors from the Indian subcontinent. This article also briefly outlines the current recommendation regarding management of infective endocarditis caused by MRSA.

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References

  1. 1.

    Connolly C, O’Donoghue K, Doran H, McCarthy FP. Infective endocarditis in pregnancy: Case report and review of the literature. Obstet Med. 2015;8:102–4.

    Article  Google Scholar 

  2. 2.

    Kebed KY, Bishu K, Al Adham RI, et al. Pregnancy and postpartum infective endocarditis: a systematic review. Mayo Clin Proc. 2014;89:1143–52.

  3. 3.

    Slipczuk L, Codolosa JN, Davila CD, et al. Infective endocarditis epidemiology over five decades: a systematic review. PLoS One. 2013;8:e82665.

  4. 4.

    Gupta A, Gupta A, Kaul U, Varma A. Infective endocarditis in an Indian setup: are we entering the ‘modern’ era? Indian J Crit Care Med. 2013;17:140–7.

    Article  Google Scholar 

  5. 5.

    Ghosh S, Sahoo R, Nath RK, Duggal N, Gadpayle AK. A study of clinical, microbiological, and echocardiographic profile of patients of infective endocarditis. Int Sch Res Notices. 2014;2014:340601.

    PubMed  PubMed Central  Google Scholar 

  6. 6.

    Vizzardi E, De Cicco G, Zanini G, et al. Infectious endocarditis during pregnancy, problems in the decision-making process: a case report. Cases J. 2009;2:6537.

    PubMed  PubMed Central  Google Scholar 

  7. 7.

    Jevons MP. “Celbenin” - resistant staphylococci. Br Med J. 1961;1:124–5.

    Article  Google Scholar 

  8. 8.

    Bamberger DM. Bacteremia and endocarditis due to methicillin-resistant Staphylococcus aureus: the potential role of daptomycin. Ther Clin Risk Manag. 2007;3:675–84.

    CAS  PubMed  PubMed Central  Google Scholar 

  9. 9.

    Pettersson GB, Hussain ST. Current AATS guidelines on surgical treatment of infective endocarditis. Ann Cardiothorac Surg. 2019;8:630–44.

    Article  Google Scholar 

  10. 10.

    Baddour LM, Wilson WR, Bayer AS, et al. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications: a scientific statement for healthcare professionals from the American Heart Association. Circulation. 2015;132:1435–86.

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Correspondence to Riju Nair.

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The authors declare that they have no conflicts of interest.

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This case report does not provide details revealing the identity of the participant. The same was discussed with the Institutional Ethics Committee and necessary approval was obtained (date—23.10.2020). Informed consent was obtained from the participant for this publication.

(Note: MMHRC–IEC (Meenakshi Mission Hospital–Institutional Ethics Committee) does not provide reference numbers on their approval.)

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Nair, R., Kumar, S. & Mani, R. Peripartum native valve endocarditis without underlying risk factors. Indian J Thorac Cardiovasc Surg (2021). https://doi.org/10.1007/s12055-021-01143-y

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Keywords

  • Postpartum infective endocarditis
  • MRSA infective endocarditis
  • AHA guidelines on MRSA infective endocarditis