IE is relatively uncommon in children, acco...
Signs and symptoms of IE in children are typically nonspecific, so a meticulous history is essential.
General symptoms include:
Fever, chills, rigors, diaphoresis
Malaise, fatigue
Anorexi...
Rest
Optimal nutrition and hydration
Careful dental hygiene
Prolonged IV therapy (at least 4 weeks and often 6 to 8 weeks) is needed.
Choice of antibiotic(s...
Obtain repeat blood cultures after a few days of antibiotic or antifungal therapy to ensure organism eradication.
Repeat blood cultures after com...
Baltimore RS, Gewitz M, Baddour LM, et al. Infective endocarditis in childhood: 2015 update: a scientific statement from the American Heart Association. Circulation. 2015;132(...
424.9 Endocarditis, valve unspecified, unspecified cause
421 Acute and subacute bacterial endocarditis
V07.39 Need for other prophylactic chemotherapy
I38 Endocarditis, valve unspecified
I3...
Q: I forgot to give my child antibiotics prior to the procedure. Should I give him a dose afterward?
A: The dosage may be administered up to 2 hours after the procedure.
Q: SBE prophylaxis is recomm...
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Bacterial endocarditis. The mitral valve shows destructive vegetations, which have eroded through the free margins of the valve leaflets.
Bacterial endocarditis. The aortic valve of an intravenous drug abuser displays adherent vegetations.
<bold><italic>FIGURE 11.94.</bold></bold> Transesophageal echocardiogram recording a transverse view in a patient with mitral valve endocarditis and a perforation of the anterior leaflet. <bold>A:</bold> Note the distinct break in the continuity of the anterior leaflet (<italic>arrow</bold>), with remnants of mitral valve tissue protruding into the left atrium (<italic>LA</bold>). <bold>B:</bold> Note the distinct convergence zone directed through the defect in the anterior leaflet (<italic>left arrow</bold>) and a lesser degree of mitral...
<bold><italic>FIGURE 11.94.</bold></bold> Transesophageal echocardiogram recording a transverse view in a patient...