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Neonatal Staphylococcus aureus pancarditis: report of one case
1Department of Pediatrics, Taichung Veterans General Hospital, Taiwan, R.O.C.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|September 1, 1993
Summary
A newborn diagnosed with necrotizing enterocolitis developed staphylococcal pancarditis, a rare and fatal condition. Early echocardiograms are crucial for infants with unexplained thrombocytopenia and cardiomegaly.
Area of Science:
- Neonatal Medicine
- Pediatric Cardiology
- Infectious Diseases
Background:
- Necrotizing enterocolitis (NEC) is a serious gastrointestinal condition in premature infants.
- Surgical intervention for NEC can lead to complications like sepsis and candidiasis.
Observation:
- A 20-day-old infant with NEC, post-resection, experienced recurrent sepsis and candidiasis.
- The infant later presented with tachycardia, thrombocytopenia, and cardiomegaly.
Findings:
- Post-mortem examination revealed staphylococcal pancarditis as the cause of cardiac arrest.
- Pancarditis is an extremely rare and often fatal neonatal disease.
Implications:
- In neonates with catheterization presenting with unexplained thrombocytopenia and acute cardiomegaly, echocardiography is highly recommended.
- Prompt diagnosis and appropriate antibiotic therapy are critical for potentially saving lives in such cases.