A case report of infective endocarditis in a 10-year-old girl

Infective endocarditis is a rare disease in children, and it can result in significant morbidity and mortality. The epidemiology of infective endocarditis in children has shifted in recent years with less rheumatic heart disease, more congenital heart disease survival, and increased use of central v...

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Main Authors: Shafee Salloum, Christopher J. Bugnitz
Format: Article
Language:English
Published: MDPI AG 2018-07-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.clinicsandpractice.org/index.php/cp/article/view/1070
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author Shafee Salloum
Christopher J. Bugnitz
author_facet Shafee Salloum
Christopher J. Bugnitz
author_sort Shafee Salloum
collection DOAJ
description Infective endocarditis is a rare disease in children, and it can result in significant morbidity and mortality. The epidemiology of infective endocarditis in children has shifted in recent years with less rheumatic heart disease, more congenital heart disease survival, and increased use of central venous catheters in children with chronic illness. Less commonly, infective endocarditis occurs in children with no preexisting cardiac disease or other known risk factors. We present a 10-year-old girl with no known cardiac disease or any other risk factors who was diagnosed with infective endocarditis according to modified Duke criteria. Blood cultures grew haemophilus parainfluenza. She had prolonged fever for 2 weeks after starting antibiotics, even though her blood culture became sterile 48 hours after treatment. We emphasize the importance of maintaining high index of suspicion for endocarditis in febrile children, even those without cardiac anomalies or other apparent risk factors.
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spelling doaj.art-add5d94108fb46c19f4cdf76938c73512022-12-22T02:12:23ZengMDPI AGClinics and Practice2039-72752039-72832018-07-018310.4081/cp.2018.1070A case report of infective endocarditis in a 10-year-old girlShafee Salloum0Christopher J. Bugnitz1Department of Hospital Medicine, Dayton Children's Hospital, Dayton, OHDepartment of Pediatric Cardiology, Dayton Children's Hospital, Dayton, OHInfective endocarditis is a rare disease in children, and it can result in significant morbidity and mortality. The epidemiology of infective endocarditis in children has shifted in recent years with less rheumatic heart disease, more congenital heart disease survival, and increased use of central venous catheters in children with chronic illness. Less commonly, infective endocarditis occurs in children with no preexisting cardiac disease or other known risk factors. We present a 10-year-old girl with no known cardiac disease or any other risk factors who was diagnosed with infective endocarditis according to modified Duke criteria. Blood cultures grew haemophilus parainfluenza. She had prolonged fever for 2 weeks after starting antibiotics, even though her blood culture became sterile 48 hours after treatment. We emphasize the importance of maintaining high index of suspicion for endocarditis in febrile children, even those without cardiac anomalies or other apparent risk factors.https://www.clinicsandpractice.org/index.php/cp/article/view/1070Infective endocarditisbacteremiafever.
spellingShingle Shafee Salloum
Christopher J. Bugnitz
A case report of infective endocarditis in a 10-year-old girl
Clinics and Practice
Infective endocarditis
bacteremia
fever.
title A case report of infective endocarditis in a 10-year-old girl
title_full A case report of infective endocarditis in a 10-year-old girl
title_fullStr A case report of infective endocarditis in a 10-year-old girl
title_full_unstemmed A case report of infective endocarditis in a 10-year-old girl
title_short A case report of infective endocarditis in a 10-year-old girl
title_sort case report of infective endocarditis in a 10 year old girl
topic Infective endocarditis
bacteremia
fever.
url https://www.clinicsandpractice.org/index.php/cp/article/view/1070
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