Streptococcus pyogenes Endocarditis Associated With Varicella—Case Report and Review of the Literature
| Autor: | Ulrich Heininger, Michael Buettcher, Patrizia Patrizia Savoia |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
mitral valve
medicine.medical_specialty Streptococcus pyogenes necrotizing fasciitis viruses Necrotising fasciitis Case Report Disease 030204 cardiovascular system & hematology medicine.disease_cause Pediatrics 03 medical and health sciences 0302 clinical medicine varicella 030225 pediatrics Medicine Endocarditis business.industry Streptococcus infective endocarditis lcsh:RJ1-570 Varicella zoster virus lcsh:Pediatrics medicine.disease vaccination Dermatology medicine.anatomical_structure Infective endocarditis Pediatrics Perinatology and Child Health Chordae tendineae business |
| Zdroj: | Frontiers in Pediatrics Frontiers in Pediatrics, Vol 7 (2019) |
| ISSN: | 2296-2360 |
| DOI: | 10.3389/fped.2019.00500 |
| Popis: | Infection with varicella zoster virus (VZV) is usually a benign and self-limiting disease. Serious complications by bacterial pathogens do occur, such as necrotising fasciitis (NF). One of the most important is Streptococcus pyogenes (or Group A Streptococcus, GAS), which colonizes epithelial surfaces, primarily of the throat and skin. In rare instances, varicella may also be associated with S. pyogenes endocarditis. Review of the literature reveals only 18 children with infective endocarditis (IE) caused by GAS since 1942. VZV as antecedent illness was found in five (28%). Fourteen (78%) had no pre-existing cardiac abnormalities. Death occurred in three (17%) children. Infective endocarditis with acute deterioration secondary to rupture of mitral valve chordae tendineae necessitating cardiac surgery has not been reported in the literature yet. We present this rare and instructive paediatric case and the results of a literature search on S. pyogenes endocarditis in children. |
| Databáze: | OpenAIRE |
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