Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Fri, Apr 4, 2025
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Volume 8, Issue 4 (2-1995)
Med J Islam Repub Iran 1995 |
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ROODPEYMA S. INFECTIVE ENDOCARDITIS IN CHILDREN. Med J Islam Repub Iran 1995; 8 (4) :221-224
URL: http://mjiri.iums.ac.ir/article-1-1358-en.html
URL: http://mjiri.iums.ac.ir/article-1-1358-en.html
From the' Department of Pediatrics, Ayatollah Taleghani Medical Center, Shahid Beheshti University
Abstract: (5091 Views)
A total of 14 cases of infective endocarditis (IE) in children aged 6
months to 10 years were seen from December 1987 to December 1992 at the
pediatric unit of Ayatollah Taleghani Medical Center. The majority of patients
(12 of 14) were between 5 and 10 years of age. Acyanotic congenital
heart disease was known to preexist in 78.6% and rheumatic valvular heart
disease in 21.4% of cases. Organisms were identified by blood culture in
50%, the majority being Streptococcus viridalls (36% of cases). Vegetations
were detected by echocardiography in 64%. The overall death rate was
21.4%. Two patients with aortic stenosis developed IE after cardiac surgery
for repair of stenotic valves and both of them died. One patient with rheumatic
aortic and mitral valve insufficiency underwent valve replacement due
to intractable heart failure.
In conclusion, the frequent presence of underlying heart disease, the
rarity of IE in infancy, and the ominous prognosis of postoperative
endocarditis and aortic valve involvement are emphasized.
Type of Study: Original Research |
Subject:
Pediatric
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