Infective Endocarditis in Children as an Increasing Clinical Problem—A Case Series
In September 2023, the European Society of Cardiology (ESC) published new guidelines for the management of endocarditis. Infective endocarditis (IE) remains a significant life-threatening disease, concerning an increasingly younger age group, especially children with congenital heart disease (CHD) a...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-03-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/11/3/371 |
| _version_ | 1797241614361427968 |
|---|---|
| author | Urszula Abramczyk Paweł Cześniewicz Jacek Kusa |
| author_facet | Urszula Abramczyk Paweł Cześniewicz Jacek Kusa |
| author_sort | Urszula Abramczyk |
| collection | DOAJ |
| description | In September 2023, the European Society of Cardiology (ESC) published new guidelines for the management of endocarditis. Infective endocarditis (IE) remains a significant life-threatening disease, concerning an increasingly younger age group, especially children with congenital heart disease (CHD) and young adults after multiple cardiac surgeries. This study’s aim was to alert the medical community to the problem of increasing IE case numbers and IE course complexity. Of the eight patients who suffered from IE treated in 2023 in our department, we describe the four whose course was the most extraordinary. Afterward, we compared the number of IE patients treated over the years in our department. All cases described children with congenital heart disease suffering from IE. The IE clinical presentation in all patients was extremely diverse, necessitating the utilization of all available diagnostic methods. Each child underwent specialized treatment and subsequently qualified for cardiac surgery. While the etiology and treatment of IE are well established, it remains a formidable challenge for physicians. Pediatric patients who have undergone multiple cardiac surgeries constitute a steadily expanding group and are especially susceptible to IE throughout their lives. Currently, no recommendations exist for the management of endocarditis in pediatric patients. This gap compels pediatricians to adapt existing guidelines designed for adult patients and to rely on scientific reports, such as case studies. |
| first_indexed | 2024-04-24T18:26:07Z |
| format | Article |
| id | doaj.art-d58a3f5d995f4d0381bf6641b8cd72db |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-04-24T18:26:07Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-d58a3f5d995f4d0381bf6641b8cd72db2024-03-27T13:31:16ZengMDPI AGChildren2227-90672024-03-0111337110.3390/children11030371Infective Endocarditis in Children as an Increasing Clinical Problem—A Case SeriesUrszula Abramczyk0Paweł Cześniewicz1Jacek Kusa2Department of Pediatric Cardiology, Regional Specialist Hospital, Research and Development Center, 51-124 Wroclaw, PolandDepartment of Pediatric Cardiology, Regional Specialist Hospital, Research and Development Center, 51-124 Wroclaw, PolandDepartment of Pediatric Cardiology, Medical University of Silesia, 40-752 Katowice, PolandIn September 2023, the European Society of Cardiology (ESC) published new guidelines for the management of endocarditis. Infective endocarditis (IE) remains a significant life-threatening disease, concerning an increasingly younger age group, especially children with congenital heart disease (CHD) and young adults after multiple cardiac surgeries. This study’s aim was to alert the medical community to the problem of increasing IE case numbers and IE course complexity. Of the eight patients who suffered from IE treated in 2023 in our department, we describe the four whose course was the most extraordinary. Afterward, we compared the number of IE patients treated over the years in our department. All cases described children with congenital heart disease suffering from IE. The IE clinical presentation in all patients was extremely diverse, necessitating the utilization of all available diagnostic methods. Each child underwent specialized treatment and subsequently qualified for cardiac surgery. While the etiology and treatment of IE are well established, it remains a formidable challenge for physicians. Pediatric patients who have undergone multiple cardiac surgeries constitute a steadily expanding group and are especially susceptible to IE throughout their lives. Currently, no recommendations exist for the management of endocarditis in pediatric patients. This gap compels pediatricians to adapt existing guidelines designed for adult patients and to rely on scientific reports, such as case studies.https://www.mdpi.com/2227-9067/11/3/371infective endocarditisguidelinespediatric |
| spellingShingle | Urszula Abramczyk Paweł Cześniewicz Jacek Kusa Infective Endocarditis in Children as an Increasing Clinical Problem—A Case Series Children infective endocarditis guidelines pediatric |
| title | Infective Endocarditis in Children as an Increasing Clinical Problem—A Case Series |
| title_full | Infective Endocarditis in Children as an Increasing Clinical Problem—A Case Series |
| title_fullStr | Infective Endocarditis in Children as an Increasing Clinical Problem—A Case Series |
| title_full_unstemmed | Infective Endocarditis in Children as an Increasing Clinical Problem—A Case Series |
| title_short | Infective Endocarditis in Children as an Increasing Clinical Problem—A Case Series |
| title_sort | infective endocarditis in children as an increasing clinical problem a case series |
| topic | infective endocarditis guidelines pediatric |
| url | https://www.mdpi.com/2227-9067/11/3/371 |
| work_keys_str_mv | AT urszulaabramczyk infectiveendocarditisinchildrenasanincreasingclinicalproblemacaseseries AT pawełczesniewicz infectiveendocarditisinchildrenasanincreasingclinicalproblemacaseseries AT jacekkusa infectiveendocarditisinchildrenasanincreasingclinicalproblemacaseseries |