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Infective Endarteritis in a Patient With Patent Ductus Arteriosus and Rheumatic Heart Disease
Demeke Mekonnen1,2, Claire B Ren2,3, Ernest Spitzer2,3
1Department of Pediatric Cardiology, Kidus Petros Hospital, Addis Ababa, Ethiopia.
JACC. Case Reports
|November 13, 2024
Insights
A 10-year-old Ethiopian girl with infective endarteritis, patent ductus arteriosus, and rheumatic heart disease was successfully treated. Management included antibiotics, surgical closure, and penicillin prophylaxis, leading to a full recovery.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Rheumatology
Background:
- Rheumatic heart disease is a significant global health concern, particularly in low-resource settings.
- Patent ductus arteriosus is a common congenital heart defect that can lead to complications like infective endarteritis.
- Infective endarteritis poses a serious risk of morbidity and mortality in pediatric patients with underlying heart conditions.
Observation:
- A 10-year-old female patient from Ethiopia presented with a complex cardiac condition.
- The patient exhibited three distinct pathological findings: infective endarteritis, patent ductus arteriosus, and rheumatic heart disease.
- This case highlights the challenges in diagnosing and managing multiple cardiac pathologies in a pediatric patient.
Findings:
- Successful management of infective endarteritis was achieved through a combination of antibiotic therapy and surgical intervention.
- Ligation of the patent ductus arteriosus was performed as a key component of the treatment strategy.
- Long-term follow-up with monthly benzathine penicillin injections proved effective in preventing recurrence and ensuring patient recovery.
Implications:
- This case underscores the importance of early diagnosis and comprehensive management of pediatric cardiac diseases.
- Effective antibiotic and surgical strategies can lead to favorable outcomes even in complex cases.
- Preventive measures, such as penicillin prophylaxis, are crucial for long-term patient well-being in rheumatic heart disease management.
Abstract:
We present a 10-year old patient from Ethiopia with 3 pathologic findings: infective endarteritis with known patent ductus arteriosus and rheumatic heart disease. The patient was managed with antibiotics and ligation of the patent ductus arteriosus. She was followed up with monthly benzathine penicillin and recovered well.
Keywords:
congenital heart diseaseinfective endarteritispatent ductus arteriosusrheumatic heart diseaseMore Related Videos
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