Case Reports

Pediatric Cardiology

, Volume 14, Issue 3, pp 183-186

Endocarditis in neonatal intensive care unit

  • Alok RastogiAffiliated withDivisions of Neonatology and Pediatric Cardiology, Department of Pediatrics, Cook County Hospital, University of Illinois College of Medicine
  • , Julie A. LukenAffiliated withDivisions of Neonatology and Pediatric Cardiology, Department of Pediatrics, Cook County Hospital, University of Illinois College of Medicine
  • , Rosita S. PildesAffiliated withDivisions of Neonatology and Pediatric Cardiology, Department of Pediatrics, Cook County Hospital, University of Illinois College of Medicine
  • , Dale ChrystofAffiliated withDivisions of Neonatology and Pediatric Cardiology, Department of Pediatrics, Cook County Hospital, University of Illinois College of Medicine
  • , Florious LaBrancheAffiliated withDivisions of Neonatology and Pediatric Cardiology, Department of Pediatrics, Cook County Hospital, University of Illinois College of Medicine

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Summary

The clinical spectrum of infective endocarditis (IE) in infants is examined in four infants between 3 and 9 months of age. None of the patients had signs of IE; all four had an anatomically normal heart. Echocardiograms showed echodense vegetations in the left side of heart in three cases and in the right side in one. Three of the four patients recovered after the episode of endocarditis. Three of the four patients had necrotizing enterocolitis in the neonatal period. The important predisposing factor was the presence of indwelling central catheter for intravenous nutrition. Unlike previously reported cases, coagulase-negativeStaphylococci andEnterococci were important causative organisms in this high-risk nursery population.

Key Words

Endocarditis Infants