European heart journal. Case reports · 2026
Pregnancy-associated Enterococcus faecalis aortic valve endocarditis secondary to obstructive uropathy: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhang Fenghan, Aziz Shazia, Dua Shivarpit, Grohol Bryce, Ezeife Ijeoma
Аннотация
BACKGROUND: Infective endocarditis during pregnancy is rare but associated with significant maternal and foetal morbidity, particularly in the setting of Enterococcus faecalis bacteraemia from genitourinary sources.
CASE SUMMARY: A 28-year-old woman at 32 weeks' gestation with bilateral nephrolithiasis and indwelling nephrostomy tubes presented with sepsis. Blood cultures grew E. faecalis. Transoesophageal echocardiography revealed a mobile aortic valve vegetation with progressive severe aortic regurgitation. A multidisciplinary team coordinated staged management, including antimicrobial therapy, genitourinary source control, planned delivery, and postpartum mechanical aortic valve replacement.
DISCUSSION: This case highlights the strong association between E. faecalis bacteraemia and infective endocarditis, the importance of early echocardiography, and the need for individualized, multidisciplinary decision-making in pregnancy.
CASE SUMMARY: A 28-year-old woman at 32 weeks' gestation with bilateral nephrolithiasis and indwelling nephrostomy tubes presented with sepsis. Blood cultures grew E. faecalis. Transoesophageal echocardiography revealed a mobile aortic valve vegetation with progressive severe aortic regurgitation. A multidisciplinary team coordinated staged management, including antimicrobial therapy, genitourinary source control, planned delivery, and postpartum mechanical aortic valve replacement.
DISCUSSION: This case highlights the strong association between E. faecalis bacteraemia and infective endocarditis, the importance of early echocardiography, and the need for individualized, multidisciplinary decision-making in pregnancy.