Mitral Valve Repair in a 15-Month-Old Child With Kingella kingae Endocarditis.
| Autor: | McGee MD; Pediatrics, Lake Erie College of Osteopathic Medicine, Bradenton, USA., Coyne SA; Pediatrics, Lake Erie College of Osteopathic Medicine, Bradenton, USA., Contractor RN; Pediatrics, Florida State University College of Medicine, Tallahassee, USA., Winburn B; Pediatrics, AdventHealth Daytona Beach, Daytona Beach, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jul 02; Vol. 16 (7), pp. e63670. Date of Electronic Publication: 2024 Jul 02 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.63670 |
| Abstrakt: | Kingella kingae , a Haemophilus parainfluenzae, Aggregatibacter actinomycetemcomitans, Aggregatibacter aphrophilus, Cardiobacterium hominis, Eikenella corrodens, K. kingae (HACEK) organism, is commonly found in the oropharynx. Although it rarely causes endocarditis, it can pose a significant risk to young children. We report a case of K. kingae endocarditis in a previously healthy 15-month-old male who initially presented with symptoms of an upper respiratory infection. Blood cultures taken at 60 hours revealed the presence of K. kingae . Subsequent echocardiogram and brain MRI demonstrated large vegetation on the mitral valve and septic emboli in the right occipital and left posterior parietal lobes. The patient was treated with intravenous ceftriaxone and underwent mitral valve repair with annuloplasty. This case illustrates the presentation of K. kingae endocarditis with initial respiratory symptoms and the subsequent identification of the infection through blood cultures and imaging. For pediatric patients presenting with upper respiratory symptoms, there may be clinical benefit to noninvasive ultrasound imaging to help rule out atypical pathologies like endocarditis. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, McGee et al.) |
| Databáze: | MEDLINE |
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