Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-12-01T00:23:36.752Z Has data issue: false hasContentIssue false

Replacement of the mitral valve in an infant with group B streptococcal endocarditis

Published online by Cambridge University Press:  01 July 2011

Thomas A. Walker*
Affiliation:
Department of Pediatrics, Divisions of Critical Care and Cardiology, The University of Mississippi Medical Center and The Blair E. Batson Hospital for Children, Jackson, MS, USA
Giorgio M. Aru
Affiliation:
Department of Surgery, Division of Cardiothoracic Surgery, The University of Mississippi Medical Center, Jackson, MS, USA
Makram R. Ebeid
Affiliation:
Department of Pediatrics, Divisions of Critical Care and Cardiology, The University of Mississippi Medical Center and The Blair E. Batson Hospital for Children, Jackson, MS, USA
*
Correspondence to: Thomas A. Walker, MD, Department of Pediatrics, Division of Pediatric Critical Care, The University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA. Tel: (601)815 8173; Fax: (601) 815 8189; E-mail: [email protected]

Abstract

Endocarditis due to group B streptococcus is very rare in infants, and may be associated with significant morbidity and mortality. Review of the literature reveals only a single reported case of an infant with this type of streptococcal endocarditis involving the mitral valve. This infant had underlying congenital heart disease, and died shortly after catheterization. We now report group B streptococcal endocarditis occurring in an infant with a structurally normal heart who was treated successfully by replacement of the mitral valve.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Agarwala, BN. Group B streptococcal endocarditis in a neonate. Pediatr Cardiol 1988; 9:5153.CrossRefGoogle Scholar
2.Cabacungan, ET, Tetting, G, Friedberg, DZ. Tricuspid valve vegetation caused by group B streptococcal endocarditis: treatment by vegectomy. J Perinatol 1993; 13:398401.Google Scholar
3.Franzek, DA, Engle, WA, Caldwell, RL. Neonatal bacterial endocarditis of the pulmonary valve: report of two cases. J Perinatol 1987; 7:292295.Google ScholarPubMed
4.Weinberg, AG, Laird, WEGroup B streptococcal endocarditis detected by echocardiography. J Pediatr 1978; 92:335336.CrossRefGoogle Scholar
5.Nakayama, DK, O'Neil, JA, Wagner, H, Cooper, A, Dean, RH. Management of vascular complications of bacterial endocarditis. J Pediatr Surg 1986; 7:636639.CrossRefGoogle Scholar
6.Tolan, RW, Kleiman, MB, Frank, M, King, H, Brown, JW. Operative intervention in active endocarditis in children: report of a series of cases and review. Clin Infect Dis 1992; 14:852862.CrossRefGoogle Scholar
7.Barton, CW, Crowley, DC, Uzark, K, Dick, M. A neonatal survivor of group B beta-hemolytic streptococcal endocarditis. Am J Perinatol 1984; 1:214215.CrossRefGoogle ScholarPubMed
8.Noel, GJ, O'loughlin, JE, Edelson, PJ. Neonatal staphylococcus epidermidis right-sided endocarditis: description of five catheterized infants. Pediatrics 1988; 82:234239.CrossRefGoogle ScholarPubMed
9.Kadoba, K, Jonas, RA, Mayer, JE, Castaneda, AR. Mitral valve replacement in the first year of life. J Thorac Cardiovasc Surg 1990; 100:762768.CrossRefGoogle ScholarPubMed
10.Adatia, I, Moore, PM, Jonas, RA, Colan, SD, Lock, JE, Keane, JF. Clinical course and hemodynamic observations after supraannular mitral valve replacement in infants and children. J Am Coll Cardiol 1997; 29:10891094.CrossRefGoogle ScholarPubMed