Endocarditis following IUD insertion in a patient with tetralogy of Fallot

BMJ Case Rep. 2019 Feb 7;12(2):e227962. doi: 10.1136/bcr-2018-227962.

Abstract

The role of antibiotic prophylaxis for prevention of infective endocarditis is unknown. Endocarditis prophylaxis is recommended for certain high-risk individuals prior to dental procedures. To our knowledge, this is the first case reported in the literature of a patient with complex congenital heart disease developing endocarditis in the period immediately following otherwise uncomplicated intrauterine device insertion.

Keywords: cardiothoracic surgery; contraception; infections; infectious diseases; valvar diseases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antibiotic Prophylaxis
  • Cardiovascular Surgical Procedures
  • Dental Care
  • Dental Care for Chronically Ill / standards
  • Endocarditis, Bacterial / diagnosis*
  • Endocarditis, Bacterial / therapy
  • Female
  • Heart Valve Prosthesis / microbiology*
  • Humans
  • Intrauterine Devices / adverse effects
  • Intrauterine Devices / microbiology*
  • Prosthesis-Related Infections / diagnosis*
  • Prosthesis-Related Infections / therapy
  • Risk Factors
  • Tetralogy of Fallot / complications
  • Tetralogy of Fallot / drug therapy*
  • Treatment Outcome