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[Recurrent subacute endocarditis caused by Streptococcus mutans in a child]
F Hunkert1, W Handrick, P Kinzel
1Universitäts-Kinderklinik Leipzig.
Abstract:
Bacterial endocarditis belongs to the rare diseases in childhood. It occurs usually as a single episode and almost exclusively in children with congenital heart disease. In recent years, however, an increased number of renewed endocarditis after the first episode were reported, especially in drug addicts. We present a case of renewed subacute infective endocarditis 3 years and 9 months after complete recovery from the first one. Furthermore, using the available literatures, the role of risk factors, the change in spectrum of the infecting organisms, the diagnostic and therapeutic approach in cases with renewed infection are discussed.
Insights
Recurrent bacterial endocarditis is rare in children, often linked to congenital heart disease. This case highlights a renewed episode years after initial recovery, emphasizing evolving risk factors and treatment considerations.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
Background:
- Bacterial endocarditis is uncommon in children, typically presenting as a single event.
- Congenital heart disease is the primary risk factor in pediatric cases.
Observation:
- A case of recurrent subacute infective endocarditis is presented.
- The patient had a prior episode 3 years and 9 months earlier.
- This recurrence occurred after complete recovery from the initial infection.
Findings:
- The study discusses the role of risk factors in recurrent endocarditis.
- It examines the changing spectrum of causative microorganisms.
- Diagnostic and therapeutic strategies for recurrent infections are reviewed.
Implications:
- Recurrent endocarditis, though rare, requires careful consideration in pediatric patients.
- Understanding evolving risk factors and microbial patterns is crucial for effective management.
- This case underscores the importance of long-term follow-up in children with a history of endocarditis.