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Infective endocarditis and an embolomycotic aneurysm in a 25-month-old child
C Cave1, M T Longaker, S Merrick
1Department of Surgery, University of California, San Francisco.
Insights
Infective endocarditis is rare in children without heart defects. This case highlights an unusual presentation with an embolomycotic aneurysm, successfully treated with valve replacement and vascular reconstruction.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- Infective endocarditis (IE) is uncommon in young children, particularly without congenital heart disease.
- Systemic embolization is a known complication of IE in adults (up to 43%), but data in pediatric populations is limited.
Abstract:
Infective endocarditis in young children is uncommon, especially where there is no underlying structural heart disease. While septic embolization in adults occurs in up to 43% of the cases of endocarditis, there is little data on systemic embolization in cases of children. We present an unusual case of a 25-month-old child with infective endocarditis and an embolomycotic aneurysm treated by mitral valve replacement and aortoiliac reconstruction.