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A case report of infective endocarditis in a 10-year-old girl

Shafee Salloum1, Christopher J Bugnitz2

  • 1Department of "Pediatric" Hospital Medicine.

Clinics and Practice
|August 10, 2018
PubMed

Insights

Infective endocarditis is rare in children but can be serious. This case highlights the need to suspect endocarditis in febrile children, even without heart conditions or risk factors.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases

Background:

  • Infective endocarditis (IE) is a rare but serious childhood illness.
  • Epidemiology is shifting due to improved congenital heart disease survival and central venous catheter use.
  • IE can occur in children without prior cardiac disease or known risk factors.

Purpose of the Study:

  • To present a case of infective endocarditis in a child with no known cardiac disease or risk factors.
  • To emphasize the importance of high clinical suspicion for IE in febrile children.

Main Methods:

  • Case report of a 10-year-old girl diagnosed with IE using modified Duke criteria.
  • Blood cultures identified Haemophilus parainfluenza.
  • Treatment involved antibiotics, with prolonged fever noted despite sterile blood cultures.

Main Results:

  • The patient was diagnosed with infective endocarditis.
  • Haemophilus parainfluenza was identified as the causative agent.
  • Prolonged fever persisted for two weeks despite initial antibiotic treatment and sterile blood cultures.

Conclusions:

  • Infective endocarditis requires a high index of suspicion in febrile children, irrespective of cardiac anomalies or risk factors.
  • Early diagnosis and treatment are crucial for managing this rare pediatric condition.

Keywords:
Infective endocarditisbacteremiafever

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