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Endocarditis following IUD insertion in a patient with tetralogy of Fallot
  1. Eric Allan Meyerowitz1,
  2. Sarah Prager2,
  3. Karen Stout3 and
  4. Alison Roxby4
  1. 1 Department of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA
  2. 2 Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA
  3. 3 Department of Cardiology, University of Washington, Seattle, Washington, USA
  4. 4 Department of Medicine, University of Washington, Seattle, Washington, USA
  1. Correspondence to Dr Eric Allan Meyerowitz, emeyerowitz{at}


The role of antibiotic prophylaxis for prevention of infective endocarditis is unknown. Endocarditis prophylaxis is recommended for certain high-risk individuals prior to dental procedures. To our knowledge, this is the first case reported in the literature of a patient with complex congenital heart disease developing endocarditis in the period immediately following otherwise uncomplicated intrauterine device insertion.

  • valvar diseases
  • contraception
  • infectious diseases
  • infections
  • cardiothoracic surgery
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  • Patient consent for publication Obtained.

  • Contributors All four authors contributed significantly to this work. EM drafted the manuscript primarily. AR, SP and KS all provided substantive edits to manuscript and all authors approved the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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