Right sided infective endocarditis: a forgotten complication of septic abortion

Vishal Anand, Abhishek Pratap Singh, Aditya Anand, Vijay Achari


Right-sided native valve infective endocarditis (IE) refers to IE involving the tricuspid or pulmonic valve. In developing countries, septic abortion is still prevalent due to instrumental delivery by untrained personnel. We report a case of a 22-year-old lady with right-sided IE and pulmonary septic embolization complicating septic abortion. The patient was treated with IV antibiotics, however, she succumbed to the illness following worsening respiratory distress and cardiac arrest.


Infective endocarditis, Tricuspid valve, Pulmonary septic emboli, Septic abortion

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Chahoud J, Sharif Yakan A, Saad H, Kanj SS. Right-Sided Infective Endocarditis and Pulmonary Infiltrates: An Update. Cardiol Rev. 2016;24:230.

Akinosoglou K, Apostolakis E, Marangos M, Pasvol G. Native valve right sided infective endocarditis. Eur J Intern Med. 2013;24:510.

Hussey HH, Katz S. Infections resulting from narcotic addiction; report of 102 cases. Am J Med. 1950;9:186.

Smit J, Korup E, Schønheyder HC. Infections associated with permanent pacemakers and implanted cardioverter-defibrillator devices. A 10-year regional study in Denmark. Scand J Infect Dis. 2010;42:658.

Uslan DZ, Sohail MR, St Sauver JL. Permanent pacemaker and implantable cardioverter defibrillator infection: a population-based study. Arch Intern Med. 2007;167:669.

Mathew J, Addai T, Anand A. Clinical features, site of involvement, bacteriologic findings, and outcome of infective endocarditis in intravenous drug users. Arch Intern Med. 1995;155:1641.

Edgeworth FH. Case of Septic Endocarditis with Cerebral Embolism. Bristol Med Chir J (1883). 1891;9(32):89-93.

Aguado JM, Arjona R, Ugarte P. Septic pulmonary emboli. A rare cause of bilateral pneumothorax in drug abusers. Chest. 1990;98:1302.

Kebed KY, Bishu K, Al Adham RI. Pregnancy and postpartum infective endocarditis: a systematic review. Mayo Clin Proc. 2014;89(8):1143-52.

Revilla A, López J, Villacorta E. Isolated right-sided valvular endocarditis in non-intravenous drug users. Rev Esp Cardiol. 2008;61:1253.

Fernández Guerrero ML, González López JJ, Goyenechea A. Endocarditis caused by Staphylococcus aureus: A reappraisal of the epidemiologic, clinical, and pathologic manifestations with analysis of factors determining outcome. Medicine (Baltimore). 2009;88:1.

Ruotsalainen E, Sammalkorpi K, Laine J. Clinical manifestations and outcome in Staphylococcus aureus endocarditis among injection drug users and nonaddicts: a prospective study of 74 patients. BMC Infect Dis. 2006;6:137.

WHO Database. Preventing Unsafe Abortion. Available at: preventing-unsafe-abortion. Accessed on 22 October 2021.

Baddour LM, Wilson WR, Bayer AS. 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.

Martín-Dávila P, Navas E, Fortún J. Analysis of mortality and risk factors associated with native valve endocarditis in drug users: the importance of vegetation size. Am Heart J. 2005;150:1099.