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A Unique Pathogen Causing Infective Endocarditis in a Three-year-old Girl
Apoorva Ravindranath Waikar1, Omosede Uzamere2, Kaneisha Bailey1
1Pediatrics, The Brooklyn Hospital Center, Brooklyn, USA.
Insights
Infective endocarditis (IE) is rare in children, especially when caused by Streptococcus pneumoniae without risk factors. This case highlights a rare instance of IE in a young girl due to S. pneumoniae.
Area of Science:
- Pediatrics
- Infectious Diseases
- Cardiology
Background:
- Infective endocarditis (IE) incidence is lower in children than adults.
- Cyanotic congenital heart disease is a major risk factor for IE.
- Pediatric IE can occur without identifiable risk factors, often linked to Staphylococcus aureus.
Abstract:
The overall incidence of infective endocarditis (IE) in adults has been reported to be 1.5 to 6.0 per 100,000 patient-years. In children, the incidence of IE in the general population is approximately three times lower. The presence of cyanotic congenital heart disease is considered to be the most strongly associated risk factor to develop IE. In approximately 8% to 10% of pediatric cases, IE develops without structural heart disease or any other readily identifiable risk factors. In these situations, the infection usually involves the aortic or mitral valve secondary to Staphylococcus aureus bacteremia. Streptococcus pneumoniae endocarditis in a female with no known risk factors is extremely rare and has no established optimal therapy. We hereby present a case of a three-year-old girl, with no identifiable risk factors diagnosed with IE caused by S. pneumoniae.
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