A case report of infective endocarditis at 36 weeks of gestation operated mitral annuloplasty after cesarean section

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  • TOJI Akihiko
    Department of Obstetrics and Gynecology, Osaka Medical College
  • FUJITA Daisuke
    Department of Obstetrics and Gynecology, Osaka Medical College
  • NUNODE Misa
    Department of Obstetrics and Gynecology, Osaka Medical College
  • MURAYAMA Yumi
    Department of Obstetrics and Gynecology, Osaka Medical College
  • NAGAYASU Yoko
    Department of Obstetrics and Gynecology, Osaka Medical College
  • SANO Takumi
    Department of Obstetrics and Gynecology, Osaka Medical College
  • TERAI Yoshito
    Department of Obstetrics and Gynecology, Osaka Medical College
  • OHMICHI Masahide
    Department of Obstetrics and Gynecology, Osaka Medical College

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Other Title
  • 妊娠後期に感染性心内膜炎となり帝王切開術後に僧帽弁形成術を施行した1例
  • 症例報告 妊娠後期に感染性心内膜炎となり帝王切開術後に僧帽弁形成術を施行した1例
  • ショウレイ ホウコク ニンシン コウキ ニ カンセンセイシン ナイマクエン ト ナリ テイオウ セッカイ ジュツゴ ニ ソウボウベン ケイセイジュツ オ シコウ シタ 1レイ

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Abstract

<p>Infective endocarditis during pregnancy is a rare disease. It causes embolism after vegetation has occurred and exacerbates perinatal prognosis. In this case, the woman was a 28-year-old primipara. She had a high fever and vomiting at 36 weeks of gestation. She was diagnosed as having infection and administered antibiotics. Her condition changed for the worse, and she had a pansystolic murmur, whitch is audible at the cardiac apex. In echocardiography, vegetation was confirmed in her mitral valve. We diagnosed infective endocarditis, and an emergency cesarean section was performed. A 2676 g male infant was delivered with Apgar scores of 8 / 9 at 1-/5-min at 37 weeks of gestation. After half a year, a mitral valve plasty was performed. Although it is a very rare disease in pregnancy, we should consider infective endocarditis when pregnant women have a persistent fever. [Adv Obstet Gynecol, 71(2) : 135-141, 2019 (R1.5)]</p>

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