Rare or rarely detected: Septic pulmonary embolism with tricuspid valve infective endocarditis after an unsafe abortion

Septic pulmonary embolism (SPE) with isolated tricuspid valve infective endocarditis (TVIE) after an unsafe abortion is an uncommon condition. However, unsafe abortion is common among reproductive-age women, especially in underdeveloped and developing countries contributing significantly to increased maternal mortality. As infective endocarditis and SPE are likely to be missed in transthoracic echocardiography and chest X-ray, respectively, in its incipient stage, there is a possibility that many cases of SPE with TVIE following such a predisposing condition may remain undiagnosed. We report a case of 26-year-old female with recent unsafe abortion who was diagnosed to have SPE with TVIE. Her clinical course depicts the possibility of missing the diagnosis, especially if subtle findings are overlooked that are emphasized in this case report.