Infective endocarditis as a result of obstetric and gynecological sepsis

Abstract

The special place taken the problem of infectious failure of endocardial structures in obstetric-gynecologic practice. In this article given the analyses of the results of leading research and treatment of women patients with infectious endocarditic in puerperal period. The actuality of this problem is determined by the increasing of women with infectious endocarditic, being developed in the period of after childbirth and abortion, because of the late diagnostic and consequence, high mortality. The question of developing endocarditic at women in the period after childbirth and abortion, as in our, so in modem literature is partly shown and there are only descriptions of some cases of appearing the disease or findings failured endocarditic at autopsy of women, died because of sepsis. The researches shown, that infectious endocarditic of puerperal period has itsown distinctive features: the first endocarditic with often localization of infection in the right heart section; the leading among the stimulyses IE is golden staphylococcus, taking the first place in etiology of pus-septic infections in obstetric-gynecologic practice; long and sub acute course of disease till the moment of stating the final diagnoses, and late beginning of adequate treatment and consequence, high mortality. The questions of developing IE after childbirth and abortion demand the further researching with the aim of prophylaxis, early diagnostic and choice of early adequate complex treatment as surgical, so therapeutic.