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Endocarditis I: Introduction01:25

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Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
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Urinary Tract Infection II: Pathophysiology01:25

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The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
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Rheumatic Heart Disease I: Introduction01:23

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Urinary Tract Infection I: Introduction01:26

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Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
460
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  1. Home
  2. Sepsis In The Structurally-vulnerable Heart: A Case Of Infective Endocarditis Masquerading As A Urinary Tract Infection In Pediatric Rheumatic Heart Disease.
  1. Home
  2. Sepsis In The Structurally-vulnerable Heart: A Case Of Infective Endocarditis Masquerading As A Urinary Tract Infection In Pediatric Rheumatic Heart Disease.

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Sepsis in the Structurally-Vulnerable Heart: A Case of Infective Endocarditis Masquerading as a Urinary Tract

Anna Mikami1, Michael Sherwood1, Abrag Nassar1

  • 1Pediatrics, Kern Medical Center, Bakersfield, USA.

Cureus
|November 19, 2025

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
infective endocarditisjaneway lesionpediatric sepsispersistent hypotensionpyelonephritisrheumatic heart disease (rhd)

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A child with rheumatic heart disease (RHD) presented with symptoms of a urinary tract infection. Doctors suspected concurrent infective endocarditis (IE) due to physical exam findings, highlighting the need for broad diagnostic evaluation in complex pediatric cases.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases
  • Rheumatology

Background:

  • Rheumatic heart disease (RHD) is a significant cause of acquired valvular disease in children globally.
  • Patients with RHD, particularly those with valvular damage and pulmonary hypertension, are at increased risk for infective endocarditis (IE).
  • Concurrent infections, such as pyelonephritis, can present with overlapping symptoms, complicating diagnosis in pediatric patients with cardiac comorbidities.