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Endocarditis in the Newborn

Endocarditis in the Newborn Abstract • Three cases of endocarditis confirmed at autopsy were identified in an intensive care nursery during an eight-month period. Echocardiography demonstrated abnormal echoes in the region of the mitral valve in one infant and the tricuspid valve in the other two infants. Both the diverse clinical manifestations of bacterial and nonbacterial endocarditis and the value of echocardiography in the establishment of an antemortem diagnosis are discussed. This previously unusual entity seems to be occurring with greater frequency in neonatal intensive care units that provide vigorous efforts to support severely ill infants. (Am J Dis Child 134:577-580, 1980) References 1. Macaulay D: Acute endocarditis in infancy and early childhood . Am J Dis Child 88:715-731, 1954. 2. Symchych PS, Krauss AN, Winchester P: Endocarditis following intracardiac placement of umbilical venous catheters in neonates . J Pediatr 90:287-289, 1977.Crossref 3. Edwards K, Ingall D, Czapek E, et al: Bacterial endocarditis in four young infants . Clin Pediatr 16:607-609, 1977.Crossref 4. Favara BE, Franciosi RA, Butterfield LJ: Disseminated intravascular and cardiac thrombosis of the neonate . Am J Dis Child 127:197-204, 1974. 5. Lennette EH, Spaulding EH, Truant JP: Manual of Clinical Microbiology . Washington, DC, American Society for Microbiology, 1974. 6. Moodie DS, Gallen WJ: Pneumococcal endocarditis in a 7-week-old infant: A case complicated by congenital heart malformation with mitral valve perforation . Am J Dis Child 129:980-983, 1975.Crossref 7. Blieden LC, Morehead RR, Burke B, et al: Bacterial endocarditis in the neonate . Am J Dis Child 124:747-749, 1972. 8. Johnson DH, Rosenthal A, Nadas AS: Bacterial endocarditis in children under 2 years of age . Am J Dis Child 129:183-186, 1975. 9. Lewis IC: Bacterial endocarditis complicating septicaemia in an infant . Arch Dis Child 29:144-146, 1954.Crossref 10. Zakrzewski T, Keith JD: Bacterial endocarditis in infants and children . J Pediatr 67:1179-1193, 1965.Crossref 11. Kunstadter RH, Kaltenekker F: Acute verrucous endocarditis in the newborn . J Pediatr 61:58-64, 1962.Crossref 12. Oppenheimer EH, Esterly JR: Nonbacterial thrombotic vegetations: Occurrence in neonate, infant, and child, and relation to valvular lesions in cardiac defects . Am J Pathol 53:63-81, 1968. 13. Liwnicz BH, Lepow H: Nonbacterial thrombotic endocarditis in premature child . NY State J Med 76:912-916, 1976. 14. Ward AM: Endocarditis in the neonatal period . Arch Dis Child 46:731-733, 1971.Crossref 15. Weinberg AC, Laird WP: Group B streptococcal endocarditis detected by echocardiography . J Pediatr 92:335-336, 1978.Crossref 16. Bender RL, Jaffe RB, McCarthy D, et al: Echocardiographic diagnosis of bacterial endocarditis of the mitral valve in a neonate . Am J Dis Child 131:746-749, 1977. 17. Grossman H, Felman A, Kirkpatrick JA, et al: Ultrasonography in children . Pediatrics 54:480-481, 1974. 18. Dillon JC, Feigenbaum H, Koneke LL, et al: Echocardiographic manifestations of valvular vegetations . Am Heart J 86:698-704, 1973.Crossref 19. Roy P, Tajik AJ, Giuliani ER, et al: Spectrum of echocardiographic findings in bacterial endocarditis . Circulation 53:474-482, 1976.Crossref 20. Wann LS, Dillon JC, Weyman AE, et al: Echocardiography in bacterial endocarditis . N Engl J Med 295:135-139, 1976.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1980.02130180035011
Publisher site
See Article on Publisher Site

Abstract

Abstract • Three cases of endocarditis confirmed at autopsy were identified in an intensive care nursery during an eight-month period. Echocardiography demonstrated abnormal echoes in the region of the mitral valve in one infant and the tricuspid valve in the other two infants. Both the diverse clinical manifestations of bacterial and nonbacterial endocarditis and the value of echocardiography in the establishment of an antemortem diagnosis are discussed. This previously unusual entity seems to be occurring with greater frequency in neonatal intensive care units that provide vigorous efforts to support severely ill infants. (Am J Dis Child 134:577-580, 1980) References 1. Macaulay D: Acute endocarditis in infancy and early childhood . Am J Dis Child 88:715-731, 1954. 2. Symchych PS, Krauss AN, Winchester P: Endocarditis following intracardiac placement of umbilical venous catheters in neonates . J Pediatr 90:287-289, 1977.Crossref 3. Edwards K, Ingall D, Czapek E, et al: Bacterial endocarditis in four young infants . Clin Pediatr 16:607-609, 1977.Crossref 4. Favara BE, Franciosi RA, Butterfield LJ: Disseminated intravascular and cardiac thrombosis of the neonate . Am J Dis Child 127:197-204, 1974. 5. Lennette EH, Spaulding EH, Truant JP: Manual of Clinical Microbiology . Washington, DC, American Society for Microbiology, 1974. 6. Moodie DS, Gallen WJ: Pneumococcal endocarditis in a 7-week-old infant: A case complicated by congenital heart malformation with mitral valve perforation . Am J Dis Child 129:980-983, 1975.Crossref 7. Blieden LC, Morehead RR, Burke B, et al: Bacterial endocarditis in the neonate . Am J Dis Child 124:747-749, 1972. 8. Johnson DH, Rosenthal A, Nadas AS: Bacterial endocarditis in children under 2 years of age . Am J Dis Child 129:183-186, 1975. 9. Lewis IC: Bacterial endocarditis complicating septicaemia in an infant . Arch Dis Child 29:144-146, 1954.Crossref 10. Zakrzewski T, Keith JD: Bacterial endocarditis in infants and children . J Pediatr 67:1179-1193, 1965.Crossref 11. Kunstadter RH, Kaltenekker F: Acute verrucous endocarditis in the newborn . J Pediatr 61:58-64, 1962.Crossref 12. Oppenheimer EH, Esterly JR: Nonbacterial thrombotic vegetations: Occurrence in neonate, infant, and child, and relation to valvular lesions in cardiac defects . Am J Pathol 53:63-81, 1968. 13. Liwnicz BH, Lepow H: Nonbacterial thrombotic endocarditis in premature child . NY State J Med 76:912-916, 1976. 14. Ward AM: Endocarditis in the neonatal period . Arch Dis Child 46:731-733, 1971.Crossref 15. Weinberg AC, Laird WP: Group B streptococcal endocarditis detected by echocardiography . J Pediatr 92:335-336, 1978.Crossref 16. Bender RL, Jaffe RB, McCarthy D, et al: Echocardiographic diagnosis of bacterial endocarditis of the mitral valve in a neonate . Am J Dis Child 131:746-749, 1977. 17. Grossman H, Felman A, Kirkpatrick JA, et al: Ultrasonography in children . Pediatrics 54:480-481, 1974. 18. Dillon JC, Feigenbaum H, Koneke LL, et al: Echocardiographic manifestations of valvular vegetations . Am Heart J 86:698-704, 1973.Crossref 19. Roy P, Tajik AJ, Giuliani ER, et al: Spectrum of echocardiographic findings in bacterial endocarditis . Circulation 53:474-482, 1976.Crossref 20. Wann LS, Dillon JC, Weyman AE, et al: Echocardiography in bacterial endocarditis . N Engl J Med 295:135-139, 1976.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1980

References