Introduction

Infective endocarditis (IE) is an endovascular microbial infection of cardiovascular structures characterized by vegetation composed of platelets, fibrin, microorganisms, and inflammatory cells (1). While IE typically affects left-sided valves, tricuspid valve endocarditis (TVIE) is increasingly recognized, particularly in intravenous drug users and patients with cardiac implantable devices. Staphylococcus aureus is the predominant causative organism in TVIE (3). Diagnosis relies on clinical manifestations, blood cultures, and echocardiography, with complementary imaging techniques providing additional information (3). Common symptoms include fever, pulmonary embolism, and bacteremia, with pulmonary events present in 80% of cases (3). Septic abortion, a significant cause of pregnancy-related deaths worldwide, involves infection of the placenta and can lead to severe complications. Prompt removal of infected tissue, fluid resuscitation, and antibiotic administration are crucial treatments (4). Complications can be life-threatening, including bacteremia, which may progress IE (5). Other severe complications may include septic arthritis, reactive arthritis, and mitral valve vegetation. IE is a rare but potentially life-threatening complication of septic abortion. While uncommon in modern practice due to improved access to care and the legalization of abortion, cases still occur (6). Common causative organisms include Streptococcus viridans and Staphylococcus aureus, but rare pathogens like Escherichia coli have also been implicated (5). Herein, we will discuss a case of a 31-year-old female with a diagnosis of Right-sided IE following septic abortion which necessities the need of prophylactic antibiotic adherence to sterile techniques during gynecological procedures.