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Seven Year Old Male with Tricuspid Endocarditis
Omar Damji1, Russ A Lam1,2,3, Mark Bromley1,2
1Department of Emergency Medicine, University of Calgary Cumming School of Medicine Calgary, Alberta.
POCUS Journal
|March 10, 2023
Summary
Pediatric endocarditis, though rare, can cause shortness of breath on exertion in children. Point-of-care ultrasound aided in the early diagnosis of ventricular septal defect with tricuspid valve endocarditis.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Point-of-Care Ultrasound
Background:
- Pediatric endocarditis is a rare but serious condition in developed nations.
- Diagnosing endocarditis in children presents significant clinical challenges.
Observation:
- A 7-year-old male presented with nocturnal fever, malaise, and fatigue after a viral illness.
- The patient experienced shortness of breath on exertion (SOBOE).
Findings:
- Point-of-care ultrasound (POCUS) initially suggested a ventricular septal defect (VSD) with tricuspid valve (TV) endocarditis.
- Formal echocardiography confirmed the diagnosis of VSD with TV endocarditis.
Implications:
- POCUS facilitated early suspicion and diagnosis of pediatric endocarditis.
- This led to expedited antibiotic treatment and blood cultures, improving patient management.
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