Infective Endocarditis and Aortic Valve Abscess in an Infant

Pediatric Emergency Care
Kristy A WilliamsonPhilomena Thomas

Abstract

Infective endocarditis is relatively uncommon in the pediatric population, but when it does occur, results in substantial morbidity and mortality. Children at risk for endocarditis are typically those with an underlying congenital heart condition. Furthermore, an endocardial abscess is a very rare yet serious complication of infective endocarditis. We describe a case of a 23-month-old previously healthy male infant with no known congenital heart disease who returned to the emergency department after a recent hospitalization for pneumococcal bacteremia, presenting acutely ill but without fever. He was found to be in congestive heart failure due to endocarditis and an aortic root abscess.

References

Nov 1, 1992·The Pediatric Infectious Disease Journal·R S Baltimore
Feb 10, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·S I AroninE L Cooney
Dec 10, 1999·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·F S ShahJ Glickstein
Feb 12, 2004·The Pediatric Infectious Disease Journal·Margaret Choi, Timothy Lloyd Mailman
May 6, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Laurence B GivnerSheldon L Kaplan

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