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[Endocarditis of the ventricular septum. Echocardiographic diagnosis]
Archives Francaises De Pediatrie
|April 1, 1987
Insights
A child
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Medical Imaging
Background:
- Bacterial endocarditis can present with complex cardiac manifestations in children.
- Ventricular septal abscesses are rare but serious complications.
- Echocardiography is crucial for diagnosing intracardiac masses and complications.
Abstract:
A 5 year-old child presented with prolonged fever, severe impairment of general condition and a pleuro-pericardium effusion. Echocardiography revealed a "bell-clapper-like tumor" in each ventricle, developed from the ventricular septum. Presence of a staphylococcal sepsis and early disappearance of the echocardiographic signs after antibiotic treatment allowed for diagnosis of bacterial endocarditis with abscess of the ventricular septum. Sinusitis and IgA deficiency were later found to be also present.