Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case report
Background: Septic abortion with multisystem involvement is associated with significant morbidity and mortality. Access to care and legalization of abortion have greatly diminished the incidence of serious sequelae worldwide. Two complications, infective endocarditis and septic arthritis, are rarely...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-04-01
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| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911222000182 |
| _version_ | 1818270845025386496 |
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| author | Raina Kishan Shaun Wesley George Barnett Robert P. Kauffman |
| author_facet | Raina Kishan Shaun Wesley George Barnett Robert P. Kauffman |
| author_sort | Raina Kishan |
| collection | DOAJ |
| description | Background: Septic abortion with multisystem involvement is associated with significant morbidity and mortality. Access to care and legalization of abortion have greatly diminished the incidence of serious sequelae worldwide. Two complications, infective endocarditis and septic arthritis, are rarely encountered in contemporary practice. Case: A 30-year-old woman developed infective endocarditis, septic arthritis, and reactive arthritis concurrently one week after undergoing dilation and curettage for an incomplete abortion with perioperative administration of doxycycline. She required systemic antibiotics, drainage and debridement of her right ankle, and a robotic-assisted mitral valve replacement due to septic vegetation. Conclusion: Septic abortion with life-threatening systemic complications is rarely encountered in modern practice. Prompt surgical uterine evacuation and broad-spectrum antibiotics are indicated to prevent systemic complications. Multispecialty consultation is usually required when endocarditis, arthritis, and other systemic complications are encountered. |
| first_indexed | 2024-12-12T21:16:45Z |
| format | Article |
| id | doaj.art-943aa7364ea3485395da3f352fe4bbb6 |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-12-12T21:16:45Z |
| publishDate | 2022-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-943aa7364ea3485395da3f352fe4bbb62022-12-22T00:11:44ZengElsevierCase Reports in Women's Health2214-91122022-04-0134e00398Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case reportRaina Kishan0Shaun Wesley1George Barnett2Robert P. Kauffman3Department of Obstetrics and Gynecology, Texas Tech University Health Science Center, School of Medicine, 1400 S. Coulter St., Amarillo, TX 79106, USADepartment of Obstetrics and Gynecology, Texas Tech University Health Science Center, School of Medicine, 1400 S. Coulter St., Amarillo, TX 79106, USADepartment of Obstetrics and Gynecology, Texas Tech University Health Science Center, School of Medicine, 1400 S. Coulter St., Amarillo, TX 79106, USACorresponding author.; Department of Obstetrics and Gynecology, Texas Tech University Health Science Center, School of Medicine, 1400 S. Coulter St., Amarillo, TX 79106, USABackground: Septic abortion with multisystem involvement is associated with significant morbidity and mortality. Access to care and legalization of abortion have greatly diminished the incidence of serious sequelae worldwide. Two complications, infective endocarditis and septic arthritis, are rarely encountered in contemporary practice. Case: A 30-year-old woman developed infective endocarditis, septic arthritis, and reactive arthritis concurrently one week after undergoing dilation and curettage for an incomplete abortion with perioperative administration of doxycycline. She required systemic antibiotics, drainage and debridement of her right ankle, and a robotic-assisted mitral valve replacement due to septic vegetation. Conclusion: Septic abortion with life-threatening systemic complications is rarely encountered in modern practice. Prompt surgical uterine evacuation and broad-spectrum antibiotics are indicated to prevent systemic complications. Multispecialty consultation is usually required when endocarditis, arthritis, and other systemic complications are encountered.http://www.sciencedirect.com/science/article/pii/S2214911222000182Septic abortionInfective endocarditisSeptic arthritisReactive arthritisCase report |
| spellingShingle | Raina Kishan Shaun Wesley George Barnett Robert P. Kauffman Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case report Case Reports in Women's Health Septic abortion Infective endocarditis Septic arthritis Reactive arthritis Case report |
| title | Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case report |
| title_full | Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case report |
| title_fullStr | Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case report |
| title_full_unstemmed | Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case report |
| title_short | Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case report |
| title_sort | septic abortion complicated by infective endocarditis mitral valve vegetation and septic and reactive arthritis a case report |
| topic | Septic abortion Infective endocarditis Septic arthritis Reactive arthritis Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2214911222000182 |
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