感染性心内膜炎より急性大動脈弁閉鎖不全症を併発した妊婦の1症例

概要

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Infective endocarditis (IE) in pregnancy is an extremely rare disease. If this is complicated by aortic regurgitation (AR), the mortality rate is quite high. The patient is a 29-year-old female with unremarkable past history. Mastoiditis at 10 weeks of gestation is diagnosed. At 16weeks of gestation, Streptococcus milleri (St. milleri)was detected by the blood culture and the vegetation on aortic valve was noted by the echocardiography. The sudden dyspnea with acute AR appeared and aortic valve replacement was performed immediately. In case of unknown etiology of fever, an echocardiographic examination is suggested for the diagnosis of IE.
社団法人日本産科婦人科学会の論文
2002-12-01