Infective Endocarditis Caused by Methicillin-Resistant Staphylococcus aureus Combined with Meningitis
Pediatric Infection & Vaccine
;
: 229-235, 2016.
Article
Dans Anglais
| WPRIM
| ID: wpr-123222
ABSTRACT
Infective endocarditis (IE) caused by methicillin-resistant Staphylococcus aureus (MRSA) has become a worldwide concern. We present a case of a 12-year-old child with IE of the native mitral valve due to MRSA infection after an invasive dental procedure. Based on the clinical symptoms and the presence of cerebrospinal fluid pleocytosis, the patient was initially diagnosed with presumed bacterial meningitis and treated with empiric antibiotics. On the third day of hospitalization, MRSA was cultured from the initial blood samples and vegetation was observed on the mitral valve during an echocardiogram, findings which are compatible with a diagnosis of IE. The revised guidelines for antibiotic prophylaxis for the prevention of IE advise that IE prophylaxis for dental procedures is reasonable only for patients with underlying cardiac conditions, who are at the highest risk of adverse outcomes from IE. However, in this case, the patient had no high risk factors indicative of IE prophylaxis, except for mitral valve prolapse. She had no recurrence of IE over a follow-up period of 12 months.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Récidive
/
Liquide cérébrospinal
/
Facteurs de risque
/
Études de suivi
/
Résistance à la méticilline
/
Prolapsus de la valve mitrale
/
Méningite bactérienne
/
Antibioprophylaxie
/
Diagnostic
/
Endocardite
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Guide de pratique
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Enfant
/
Humains
langue:
Anglais
Texte intégral:
Pediatric Infection & Vaccine
Année:
2016
Type:
Article
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