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First Pediatric Case of Infective Endocarditis Caused by Serratia Liquefaciens
Taichi Momose1, Satoshi Masutani1, Ayumi Oshima1
1Department of Pediatrics and Pediatric Cardiology, Saitama Medical Center, Saitama Medical University.
Insights
Serratia liquefaciens infective endocarditis (IE) is rare in children. This case highlights the first neonatal IE caused by this bacteria, emphasizing broad-spectrum antibiotic use in critical pediatric heart patients.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Neonatal Care
Background:
- Infective endocarditis (IE) is a serious infection affecting heart valves.
- Serratia liquefaciens is an uncommon cause of IE, with limited pediatric case reports.
- Neonates undergoing cardiac surgery are at high risk for healthcare-associated infections.
Observation:
- A neonatal patient developed IE caused by Serratia liquefaciens post-palliative heart surgery.
- Mitral valve vegetation was identified as a complication.
- The infection occurred within days of the surgical procedure.
Findings:
- This represents the first reported pediatric (neonatal) case of IE due to Serratia liquefaciens.
- The clinical presentation highlights a potential complication following cardiac surgery in neonates.
- Serratia liquefaciens can cause severe IE in vulnerable infant populations.
Implications:
- Early and broad-spectrum antibiotic coverage targeting both gram-positive and gram-negative organisms is crucial in suspected IE cases in neonates.
- This case expands the understanding of pathogens causing IE in pediatric cardiac surgery patients.
- Further surveillance and research are needed to understand the epidemiology and optimal management of Serratia liquefaciens IE in neonates.
Abstract:
Infective endocarditis (IE) caused by Serratia liquefaciens has been reported in only 2 adults. We experienced the first pediatric (neonatal) case of IE caused by S. liquefaciens, with mitral valve vegetation 4 days after a palliative heart surgery. This report underscores the importance of treating for both gram-positive and gram-negative bacteria in IE cases until the blood cultures elucidate the details.
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