Pediatric Cardiology

, Volume 11, Issue 2, pp 77–81 | Cite as

Infectious endocarditis in children

  • F. Parras
  • E. Bouza
  • J. Romero
  • L. Buzón
  • M. Quero
  • J. Brito
  • D. Vellibre
Original Articles

Summary

With the object of analyzing current characteristics of infectious endocarditis (IE) in children, we carried out a retrospective study of 23 cases of IE in children under 15 years of age seen at the Hospital Ramón y Cajal in Madrid (Spain) between 1977 and 1985.

The incidence was high (1.3 cases per 1000 children admitted). The male/female ratio was 2∶1. Eight patients were under 2 years of age and 15 over 2 years, the majority being adolescents. The two groups presented marked etiological and prognostic differences. Congenital heart disease was the predisposing factor in 20 of the 23 cases.Streptococcus viridans (nine cases) andStaphylococcus aureus (eight cases) were the most frequent organisms. Fourteen cases were on a native valve and nine were secondary (seven of these on prosthetic patches).

In spite of advances in therapy, IE continues to be a severe illness: the mortality rate in our series was 26%. Factors associated with a poor prognosis were: age less than 2 years,Staphylococcus aureus as the causative agent, and the presence of prosthetic material.

Key Words

Infectious endocarditis Children 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Blumental S, Griffihs SP, Morgan RC (1960) Bacterial endocarditis in children with heart disease. A review based on the literature and experience with 58 cases.Pediatrics 26:993–1017Google Scholar
  2. 2.
    Dillon T, Meyer, RA, Korfhagen, JC, Kaplan S, Chung KJ (1980) Management of infective endocarditis using echocardiography.J Pediatr 86:552–558Google Scholar
  3. 3.
    Gersony WM, Hayes GJ (1977) Bacterial endocarditis in patients with pulmonary stenosis, aortic stenosis or ventricular septal defect.Circulation 56(suppl I):84–87Google Scholar
  4. 4.
    Johnson, DH, Rosenthal A, Nadas AS (1975) A forty-year review of bacterial endocarditis in infancy and childhood.Circulation 51:581–588.Google Scholar
  5. 5.
    Johnson DH, Rosenthal A, Nadas AS (1975) Bacterial endocarditis in children under 2 years of age.Am J Dis Child 129:183–186.Google Scholar
  6. 6.
    Karchmer AW, Stinson EB (1980) The role of surgery in infective endocarditis. In: Remington JS, Swartz MN (eds)Current clinical topics in infectious disease 1. McGraw-Hill, New York, pp 124–157Google Scholar
  7. 7.
    Kramer HN, Burgeois M, Liersch R, Nebler L, Meyer H, Sievers G (1983) Current clinical aspects of bacterial endocarditis in infancy, childhood and adolescence.Eu J Pediatr 140:253–259Google Scholar
  8. 8.
    Pelletier LL, Petersdorf RG (1977) Infective endocarditis a review of 125 cases from the University of Washington hospital 1963–1972.Medicine (Baltimore) 56:287–318Google Scholar
  9. 9.
    Ravinovich, S, Evans J, Smith IM, January LE (1965) A long-term view of bacterial endocarditis.Ann Intern Med 63:185–198Google Scholar
  10. 10.
    Romero J, Bouza E, Buzón, L, Parras F, Gómez R, Villagrá F, Pérez-León J (1985) Endocarditis on a Gore-Tex tube prosthesis.Pediatric Infect Dis J. May:296–298Google Scholar
  11. 11.
    Schollin J, Bjarke B, Wesstrons G (1985) Infective endocarditis in Swedish children.Acta Paediatr Scand 75:993–1005Google Scholar
  12. 12.
    Stanton BF, Baltimore RS, Clemens JD (1984) Changing spectrum of infective endocarditis in children. Analysis of 26 cases, 1970–1979.Am J Dis Child 138:720–725Google Scholar
  13. 13.
    Van Hare FG, Ben-Shachar G, Liebman J, Boxerbaum B, Reimenschneider TA (1984) Infective endocarditis in infants and children during the past 10 years: a decade of change.Am Heart J 107:1235–1240Google Scholar
  14. 14.
    Von Reyn CF, Levy BS, Arbeit RD, Fredlan G, Chumpaker CS (1981) Infective endocarditis: an analysis based on strict case definition.Ann Intern Med 94:505–518Google Scholar
  15. 15.
    Watanakunakorn C (1978) Infective endocarditis as a result of medical progress.Am J Med 64:917–919Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1990

Authors and Affiliations

  • F. Parras
    • 1
  • E. Bouza
    • 1
  • J. Romero
    • 1
  • L. Buzón
    • 1
  • M. Quero
    • 2
  • J. Brito
    • 2
  • D. Vellibre
    • 2
  1. 1.Infectious Disease UnitHospital Ramón y CajalMadridSpain
  2. 2.Medico-Surgical Unit of Pediatric CardiologyHospital Ramón y CajalMadridSpain

Personalised recommendations