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[Neonatal infectious endocarditis. Apropos of 5 cases]
I Hernández1, G Arcil, O Farrú
1Unidad de Cardiologia, Hospital Roberto Del Rio, Santiago, Chili.
Archives Des Maladies Du Coeur Et Des Vaisseaux
|May 1, 1990
Summary
Neonatal infective endocarditis, often caused by Staphylococcus aureus, affects multiple heart valves. Echocardiography is crucial for diagnosing this severe condition in newborns with sepsis or disseminated intravascular coagulation.
Area of Science:
- Neonatal cardiology
- Infectious diseases
- Pediatric critical care
Context:
- Neonatal infective endocarditis (NIE) is a rare but serious condition.
- Predisposing factors in neonates include umbilical catheters, respiratory distress, and sepsis.
Purpose:
- To report five cases of NIE in neonates.
- To highlight the diagnostic value of echocardiography in this population.
Summary:
- Five neonates presented with NIE involving mitral, tricuspid, or pulmonary valves.
- Staphylococcus aureus was the causative agent in all cases.
- Echocardiography confirmed bacterial vegetations, and disseminated intravascular coagulation was common.
Impact:
- Echocardiography is essential for diagnosing NIE in neonates with sepsis, coagulopathy, or cardiac murmurs.
- Despite treatment, mortality remains high (3/5 cases).
- Successful treatment led to vegetation resolution in two neonates.