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Pneumococcal endocarditis in a 7-week-old infant. A case complicated by congenital heart malformation with mitral
American Journal of Diseases of Children (1960)
|August 1, 1975
Insights
This study reports the youngest infant diagnosed with pneumococcal endocarditis and mitral valve perforation. This rare pediatric condition highlights critical aspects of bacterial endocarditis in infants.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Neonatal Medicine
Background:
- Pneumococcal endocarditis is exceptionally rare in infants under two years old.
- Endocarditis in this age group serves as a model for understanding the condition in general.
- The case involves a seven-week-old infant, making it a significant finding.
Purpose of the Study:
- To document and discuss a rare case of pneumococcal endocarditis in an infant.
- To highlight the clinical presentation and implications of bacterial endocarditis in neonates.
- To emphasize the rarity of this condition in the current antibiotic era.
Main Methods:
- Case report of a seven-week-old female infant.
- Clinical diagnosis of pneumococcal endocarditis.
- Identification of mitral valve perforation.
Main Results:
- The infant presented with pneumococcal endocarditis.
- Mitral valve perforation was identified as a complication.
- This represents the youngest patient with this diagnosis in the penicillin era.
Conclusions:
- Pneumococcal endocarditis is a critical and rare diagnosis in neonates.
- Early recognition and management are crucial for outcomes in infant endocarditis.
- This case underscores the importance of considering bacterial endocarditis even in very young infants.
Abstract:
A 7-week-old girl had pneumococcal endocarditis and perforation of the mitral valve. Pneumococcal endocarditis in children under 2 years of age is extremely rare, and is a prototype for endocarditis in general in infants less than 2 years of age. To our knowledge, this is the youngest reported patients with pneumococcal endocarditis in the penicillin era.