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[Bacterial heart diseases in childhood. An overview of diseases 1971-1987]
E M Meister1, W Handrick, F B Spencker
1Kardiologischen Abteilung, Bereiches Medizin der Karl-Marx-Universität Leipzig.
Abstract:
The authors give a review of patients with bacterial cardiac disease treated in the Paediatric Clinic of Karl-Marx-University Leipzig between 1971 and 1987. During this period 32 patients were observed, which amounts to about 2 to 3 patients per year. The majority of patients had congenital heart disease. Despite antibiotic therapy the prognosis of this infection is still serious: One third of the patients died, and diagnosis is made with considerable delay in some cases. Problems and diagnostic and therapeutic approaches are discussed.
Insights
Bacterial cardiac disease in children remains serious, with a high mortality rate despite antibiotics. Delayed diagnosis in pediatric patients with congenital heart disease is a significant concern.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Cardiovascular Health
Context:
- Review of 32 pediatric patients with bacterial cardiac disease treated between 1971-1987.
- Focus on cases from the Paediatric Clinic of Karl-Marx-University Leipzig.
- Analysis of a 16-year treatment period.
Purpose:
- To review the clinical characteristics and outcomes of pediatric bacterial cardiac disease.
- To highlight diagnostic challenges and treatment strategies.
- To assess the prognosis and mortality associated with these infections.
Summary:
- Bacterial cardiac disease affects approximately 2-3 pediatric patients annually.
- Congenital heart disease is a common comorbidity.
- Mortality remains high (one-third of patients) despite antibiotic therapy.
- Delayed diagnosis is frequently observed, complicating management.
Impact:
- Underscores the persistent severity of bacterial cardiac disease in children.
- Emphasizes the need for early diagnosis and effective therapeutic interventions.
- Provides insights into managing pediatric patients with complex cardiac conditions and infections.