Showing 1 results for Children. Infective Endocarditis (ie). Congenital Heart Disease (chd). Valvular Heart
Shahla Roodpeyma,
Volume 8, Issue 4 (2-1995)
Abstract
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.
