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NIGER DELTA JOURNAL OF MEDICINE & MEDICAL RESEARCH

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Archive | ISSUE: , Volume: Apr-Jun-2025

POSTPARTUM INFECTIVE ENDOCARDITIS, A CHALLENGE TO IMPROVE CLINICAL SKILLS


Author:Nwade B, Offiah E, Uwanuruochi K

published date:2025-Sep-19

FULL TEXT in - | page 62–65

Abstract

Background: Postpartum infective endocarditis is rare and life threatening, but curable.

Case presentation: This case report outlines the clinical presentation and management of infective endocarditis in a 32-year-old woman after twin delivery in a maternity home. Initially, the case was misdiagnosed, and financial constraints and insufficient clinical acumen hindered investigation and procurement of medications. Eventually, after significant delay, the diagnosis was made. However, social circumstances warranted premature discharge, and the patient was lost to follow-up.

Conclusion: This case provided a lot of learning opportunities for clinicians. The advent of investigative tools notwithstanding, clinical acumen still needs to be top notch.

Keywords: Postpartum, infective endocarditis, clinical skills

Keywords: Postpartum, infective endocarditis, clinical skills,,

References

1. Markos S, Firdawoke SN, Gagamo ED, Workeneh MZ. Unusual Case of Right-Side Infective Endocarditis in a 40-Year-Old Woman with Postpartum Endometritis: A Case Report. Int Med Case Rep J. 2024 Apr 3;17:275-279.

2. Divyashree K, Singh H, Dahiya N, Suri V, Bhalla A. An Unusual Case of Post-partum Native Tricuspid Valve Infective Endocarditis. Oman Med J. 2023 Sep 28;38(5):e555.

3. Fava AM, Xu B. Tricuspid valve endocarditis: Cardiovascular imaging evaluation and management. World J Clin Cases. 2021 Oct 26;9(30):8974-8984.

4. Dural ?E, Gökaslan S, Yal?m Z, Aksu U, Y?lmaz ÖF, Ersoy ?, et al. Postpartum infective endocarditis with Enterococcus faecalis after vaginal delivery. Anatol J Cardiol. 2021 Dec;25(12):920-921.

5. Nair R, Kumar S, Mani R. Peripartum native valve endocarditis without underlying risk factors. Indian J Thorac Cardiovasc Surg. 2021 Sep;37(5):565-568.

6. Wiradnyana AAGP, Darmayasa IM, Saspriyana KY. The Characteristics of Pregnant Women with Cardiac Disease in Prof. Dr. I.G.N.G. Ngoerah Hospital, Denpasar. J Obstet Gynaecol Pract POGS 2025;3(1):8–21

FULL TEXT in - | page 62–65

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