Infective Endocarditis in South African Children
| Autor: | Derek G. Human, C. T. Hugo-Hamman, M. M. A. De Moor |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Heart Defects
Congenital Male Pediatrics medicine.medical_specialty Adolescent Heart disease Heart malformation South Africa Risk Factors Case fatality rate medicine Humans Endocarditis Cardiac Surgical Procedures Child Retrospective Studies biology business.industry Infant Newborn Infant Endocarditis Bacterial medicine.disease biology.organism_classification Surgery Cardiac surgery Infectious Diseases Viridans streptococci Child Preschool Infective endocarditis Pediatrics Perinatology and Child Health Rheumatic fever Female business |
| Zdroj: | Journal of Tropical Pediatrics. 35:154-158 |
| ISSN: | 1465-3664 0142-6338 |
| DOI: | 10.1093/tropej/35.4.154 |
| Popis: | The clinical and laboratory findings in 29 children with infective endocarditis over the past 10 years are reviewed retrospectively. Twenty children (70 per cent) had congenital heart disease, five (16 per cent) had rheumatic heart disease, and four (14 per cent) had no underlying cardiac abnormality prior to presentation. Twelve (41 per cent) patients had undergone cardiac surgery prior to developing endocarditis. The most common causative organisms were Staphylococcus aureus, Staphylococcus epidermidis, and viridans streptococci none of which was associated with a significantly greater mortality. There was a high case fatality rate of 35 per cent of children below the age of 6 months and children without an underlying cardiac abnormality were particularly at risk. There is a need for standardization of diagnostic criteria for infective endocarditis to facilitate accurate collaborative epidemiological investigation. |
| Databáze: | OpenAIRE |
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