CASE REPORTS
JOURNAL ARTICLE
REVIEW
SYSTEMATIC REVIEW
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Bacterial endocarditis complicating pregnancy: case report and systematic review of the literature.

INTRODUCTION: Infectious endocarditis is a rare life-threatening complication of pregnancy. We report a pregnancy complicated by a 3.5-cm infected vegetation of the tricuspid valve initially presenting as unilateral hip pain as well as systematic review of this entity.

SOURCES: A MEDLINE review of the English language literature from 1965 to present using the search terms 'endocarditis', 'pregnancy' and 'infection' as well as review of references was performed.

RESULTS: Sixty-eight cases of infectious endocarditis complicating pregnancy were identified. The calculated maternal and fetal mortality rates were 22.1% and 14.7% respectively.

CONCLUSIONS: With persistent symptomatic lesions, delivery should be considered without regard to measures of fetal lung maturity because of high fetal mortality rates.

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