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Unusual presentation of more common disease/injury
Postpartum culture negative endocarditis: a case report and review of the current guidelines
  1. Omar F Ali1,
  2. Natasha Ratnaraja2,
  3. Nazim Nathani2,
  4. Moninder Bhabra3,
  5. Chetan Varma1
  1. 1Cardiology Department, City Hospital, Birmingham, UK
  2. 2Microbiology Department, City Hospital, Birmingham, UK
  3. 3Cardiothoracic Department, City Hospital, Birmingham, UK
  1. Correspondence to Dr Omar F Ali, o.ali{at}


Culture-negative endocarditis (CNE) presents physicians with diagnostic and treatment challenges. Postpartum endocarditis is rare and usually culture negative. Empirical antimicrobial regimes lead to the risk of aggressive treatment with potentially toxic drugs. This paper presents a case of postpartum CNE, discussing the issues of diagnosis and treatment. European and American guidelines for CNE are then reviewed and compared.

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  • Competing interests None.

  • Patient consent Obtained.

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