Tricuspid valve Group B streptococcal endocarditis after an elective termination of pregnancy

A patient developed fever, chills, and shortness of breath after an electiv e first trimester dilation and curettage. Blood cultures grew Group B strep tococcus, and a transesophageal echocardiogram revealed a 2 x 2 cm vegetati on on the tricuspid valve and global left ventricular hypokinesis. A 6-week course of parenteral antibiotics and vasodilator therapy resulted in resol ution of the valvular vegetation as well as of the left ventricular dysfunc tion.