Recurrent subacute endocarditis caused by Streptococcus mutans in a child

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 ad...

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Bibliographic Details
Published inKlinische Pädiatrie Vol. 207; no. 1; p. 1
Main Authors Hunkert, F, Handrick, W, Kinzel, P, Schneider, P, Spencker, F B, Günther, E
Format Journal Article
LanguageGerman
Published Germany 01.01.1995
Subjects
Bacteremia - diagnosis
Bacteremia - drug therapy
Child
Drug Therapy, Combination - therapeutic use
Endocarditis, Subacute Bacterial - diagnosis
Endocarditis, Subacute Bacterial - drug therapy
Gentamicins - therapeutic use
Heart Defects, Congenital - complications
Heart Defects, Congenital - surgery
Humans
Male
Penicillin G - therapeutic use
Postoperative Complications - diagnosis
Postoperative Complications - drug therapy
Recurrence
Streptococcal Infections - diagnosis
Streptococcal Infections - drug therapy
Streptococcus mutans
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Summary: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.
ISSN:0300-8630