Complicated Subacute Bacterial Endocarditis in a Patient with Ventricular Septal Defect
Journal Title: Sultan Qaboos University Medical Journal - Year 2014, Vol 14, Issue 1
Abstract
Infective endocarditis (IE) is an uncommon but life-threatening infection. Despite advances in management, it still causes high morbidity and mortality. We report the case of an 8-year-old girl who presented with a prolonged fever of 2.5 months duration and a history of a small perimembranous ventricular septal defect. She was diagnosed with subacute bacterial endocarditis secondary to Streptococcus mutans. Te patient developed a septic pulmonary embolism; however, with the use of appropriate antimicrobial therapy, she made an uneventful recovery. Clinicians should have a high index of suspicion for IE as the possible cause of a prolonged fever, especially in the presence of congenital heart disease (CHD). Currently, IE prophylaxis is not indicated for unrepaired acyanotic CHD. Nevertheless, with the new changes in the guidelines, more prospective studies are needed to investigate the incidence of IE in such lesions, before long-term conclusions can be drawn.
Authors and Affiliations
Khalfan S. Al-Senaidi| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Anas-Alwogud A. Abdelmogheth| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Abdullah A. Balkhair| Departments of Medicine, Sultan Qaboos University Hospital, Muscat, Oman
Keywords
Related Articles
- EP ID EP14433
- DOI -
- Views 346
- Downloads 10
Pathophysiology of obstructive sleep apnoea syndrome: a review
Sleep apnoea syndrome is a common disorder and a major health hazard that affects many body systems. It is particularly associated with increased cardiovascular and cerebrovascular morbidity and mortality. Among its oth...
Epidemiology, Outcomes and Coronary Angiography Findings of Patients Following Out-of-Hospital Cardiac Arrest: A single-centre experience from Oman
Objectives: Out-of-hospital cardiac arrests (OHCAs) are a leading cause of death worldwide. However, data regarding the management and outcomes of affected patients are lacking in the Middle East. The current study aimed...
Single Breath-Hold Physiotherapy Technique Effective tool for T2* magnetic resonance imaging in young patients with thalassaemia major
Magnetic resonance imaging using T2* (MRI T2*) is a highly sensitive and non-invasive technique for the detection of tissue iron load. Although the single breath-hold multi-echo T2* technique has been available at the...
Transfusion in Haemoglobinopathies Review and recommendations for local blood banks and transfusion services in Oman
Sickle cell disease and homozygous β-thalassaemia are common haemoglobinopathies in Oman, with many implications for local healthcare services. The transfusions of such patients take place in many hospitals throughout...
Mechanisms of Host Resistance Against HIV Infection and Progression to AIDS
Since the discovery in the early eighties of the Human Immunodeficiency Virus (HIV) that causes acquired immunodeficiency syndrome (AIDS), there have been reports of people who were completely resistant to infection with...