What Causes Infective Endocarditis In A Child?

Posted on Sat, 1 Apr 2017

Question: pt had history of Sepsis/Shock/MODS/Myocarditis – Pericardial Effusion/ Pancytopenia/Multiple Subcutaneous Abscess/Necrosis of Nasal Bridge, Multiple Pyogenic Lesion on feet, Since FEB 2016
know admitted for Infective Endocarditis.

can be the Sepsis/Shock/MODS/Myocarditis – Pericardial Effusion/ Pancytopenia/Multiple Subcutaneous Abscess/Necrosis of Nasal Bridge, Multiple Pyogenic Lesion on feet, lead to the infective endocarditis? can we co relate the Myocarditis – Pericardial Effusion with infective endocarditis?
what is the causative factor for infective endocarditis in 4 year old child?

Answered by Dr. Rishu Saxena (1 hour later)

Brief Answer:
Yes the same bacteria can cause all these conditions.

Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query,
Have noted all your details.
As per your query,
The most common causes of IE in chidren less then 6 year is Ventricular septal defect and the bacteria involved is Coagulase-negative staphylococci (23.5%) and Staphylococcus aureus (11.7%) respectably.However exact causative agent can be diagnosed by Blood routine and microscopy with blood culture and sensitivity.

These bacteria's are often involved in pleural effusion,Myocarditis,MODS,So yes all these condition are inter related as same bacteria can cause all these conditions.The only difference between myocarditis is that it involve middle layer of heart while endocarditis involves inner layer and valves.

Thanks.

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Above answer was peer-reviewed by : Dr. Nagamani Ng