back to vol. 15, b. 1, 2009

Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue: Volume 15, book 1, 2009
Subject Collection: Medicine
Page: 13 - 15
DOI: 10.5272/jimab.1512009_13
Online date:June 15, 2009

INFECTIVE ENDOCARDITIS IN CHILDREN – CLINICAL AND OUTCOME EVOLUTION
Lachezar Marinov, P. Shivachev
Department of Pediatrics

Medical University “Prof. Dr Paraskev Stoyanov”-Varna, Bulgaria
SUMMARY: For a 15- year period (1992 – 2007) in the clinics of the department of pediatrics were hospitalized 10 children with endocarditis from 1 to 13 years of age. One of the children was hospitalized twice during a period of two years.
All children were with preceding congenital defects: ventricular septic defects in 5 cases; valvular aortic stenosis in 1 case; transposition of the great vessels – 1 case; hyperthrofic cardiomyopathy – 1 case; ventricular-atrial anastomosis in two child with internal hydrocephaly. Three of the cases were patients with prosthetic endocarditis.
In blood cultures were established Streptococcus viridans in 3 cases; Streptococcus б - haemoliticus in 2 case; Staphylococcus epidermidis in 2 cases and Staphilococcus aureus in 1 case. In 84.44% of the cases were found positive blood cultures before starting the antibacterial therapy. In patients who had received antibiotics before – 18.17% were with positive cultures.
With echocardiography was detected vegetation in 8 (73.27%) cases.
In the course of the disease were found the following complications: cardiac deficiency – in 7 children, pleuropericardial effusions – in 4 cases,  septic embolism in 3 patients and purulent mediastinitis – 1 case. Three of our IE cases have had a lethal outcome (27,3%).
Key words: Infective endocarditis, children, clinical evolution, complications.

Page: 13-15; FULL TEXT PDF (321 KB)

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