Pediatric Infective Endocarditis and Stroke: A 13-Year Single-Center Review
| Autor: | Gui-fang Cao, Qi Bi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Staphylococcus aureus Subarachnoid hemorrhage Heart disease Adolescent 03 medical and health sciences 0302 clinical medicine Developmental Neuroscience Risk Factors 030225 pediatrics Internal medicine Streptococcal Infections medicine Endocarditis Humans Child Stroke Cerebral Hemorrhage Retrospective Studies Intracerebral hemorrhage Cerebral infarction business.industry Incidence (epidemiology) Infant Endocarditis Bacterial Staphylococcal Infections medicine.disease Viridans Streptococci Paresis Neurology Echocardiography Infective endocarditis Child Preschool Pediatrics Perinatology and Child Health Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Pediatric neurology. 90 |
| ISSN: | 1873-5150 |
| Popis: | We explored the relationship between pediatric infective endocarditis and stroke.All children encountered with infective endocarditis from January 2002 to December 2015 were included as our sample, and their medical records were comprehensively reviewed.Sixty children with infective endocarditis were identified, including 30 boys and 30 girls aged eight months to 18 years (mean ± SD: 10.3 ± 5.6), and om 43 (71.6%) of these individuals had congenital heart disease. Left-sided endocarditis occurred in 25 patients (41.7%), and vegetations were found in 58 individuals (96.6%). The most often encountered microorganisms were Streptococcus viridans and Staphylococcus aureus, which were identified in five and four patients, respectively. Postendocarditis stroke occurred in nine patients, including five with cerebral infarction, two with intracerebral hemorrhage, and one with subarachnoid hemorrhage. The remaining child experienced cerebral infarction, intracerebral hemorrhage and subarachnoid hemorrhage simultaneously. The incidence of stroke in children with left-sided endocarditis was significantly higher than that of which in those who had right-sided endocarditis (32% versus 2.8%, P0.01). The most common manifestation of stroke was hemiparesis (55.5%). Two girls died of stroke, and the mortality rate in the patients who had stroke was significantly higher than that in those without stroke (22.2 % versus 3.9 %, P0.05).Our data indicate that stroke is common among children with infective endocarditis, especially in those with left-sided endocarditis, and major stroke may increase their risk of death. Congenital heart disease is the main underlying disease in children with infective endocarditis in China. |
| Databáze: | OpenAIRE |
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