[Bacterial endocarditis in children].

J Normand; A Bozio; J Etienne; F Sassolas; H Le Bris

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PubMed · 8024390

[Bacterial endocarditis in children].

J Normand·A Bozio·J Etienne·F Sassolas·H Le Bris

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Abstract

The authors undertook a retrospective study of 69 cases of infective endocarditis (IE) in 68 children treated from 1971 to 1992. The comparison between two groups (Group I comprising 34 patients treated between 1971 and 1981; Group II comprising 34 patients treated between 1982 and 1992) based on a review of the literature showed that the natural history of paediatric IE has changed during these two decades: a slight increase in the incidence in young children. The sequellae of rheumatic heart disease play no role in determining IE in France. Congenital heart disease plays a major role (72% of cases) with increasing numbers having undergone surgical treatment for more complex lesions. Mitral valve prolapse has become a more common cause with multiple portals of entry, predominantly buccal and oto-rhino-laryngeal. Blood cultures are positive in 75% of cases, the commonest organisms being Streptococci and Staphylococci, but the frequency of uncommon pathogens is increasing. Echocardiography plays a major role in the diagnosis and inventory of IE (vegetations demonstrated in 64% of cases in Group II). Although mortality is progressively decreasing (3% in Group II) because of more frequent surgical indications (32% in Group II) and more severe sequellae: only 27% of children in Group II were cured without sequellae or aggravation of their previous cardiac lesion.

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Adolescent Child Child, Preschool Echocardiography, Transesophageal Endocarditis, Bacterial Female Heart Defects, Congenital Heart Valve Diseases Heart Valve Prosthesis Humans Infant Male Retrospective Studies Rheumatic Heart Disease English Abstract Journal Article Review

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J Normand, A Bozio, J Etienne, F Sassolas, H Le Bris. 1993. [Bacterial endocarditis in children].. https://pubmed.ncbi.nlm.nih.gov/8024390/

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