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Infective endocarditis in childhood: a single-centre experience of 26 years

Published online by Cambridge University Press:  24 November 2022

Fadli Demir Open the ORCID record for Fadli Demir [Opens in a new window] ,
Celal Varan ,
Sevcan Erdem Open the ORCID record for Sevcan Erdem [Opens in a new window] ,
Anıl Atmış ,
Tolga Akbaş ,
Berivan Subaşı Open the ORCID record for Berivan Subaşı [Opens in a new window] ,
Yasin Güzel  and
Nazan Özbarlas
Fadli Demir*
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, Çukurova University, Adana, Turkey
Celal Varan
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, Çukurova University, Adana, Turkey
Sevcan Erdem
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, Çukurova University, Adana, Turkey
Anıl Atmış
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, Çukurova University, Adana, Turkey
Tolga Akbaş
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, Çukurova University, Adana, Turkey
Berivan Subaşı
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, Çukurova University, Adana, Turkey
Yasin Güzel
Affiliation:
Department of Pediatric Cardiovascular Surgery, Faculty of Medicine, Çukurova University, Adana, Turkey
Nazan Özbarlas
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, Çukurova University, Adana, Turkey
*
Author for correspondence: F. Demir, MD, Department of Pediatric Cardiology, Medical Faculty, Balcali Hospital, Çukurova University, 01330 Saricam, Adana, Turkey. Tel: +905056408963; Fax: +90 03223387144. E-mail: fadlidemir@yahoo.com
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Abstract

The aim of this study was to present the clinical and microbiological characteristics of patients with infective endocarditis.

A retrospective evaluation was made of patients diagnosed with infective endocarditis between 1995 and 2021. The clinical and laboratory characteristics of the patients were recorded together with conditions constituting a risk for the development of endocarditis, treatment, and surgical outcomes.

Evaluation was made of 68 patients with a mean age of 7.3 years (3 months–17 years), diagnosed with infective endocarditis. An underlying cause of CHD was determined in 47 (69%) patients and rheumatic valve disease in 3 (4.4%). There was no structural heart disease in 18 (26%) patients of whom 13 of them had other risk factors. A causative organism was found in 41 (60%) cases, and the microorganism most often determined was viridans group streptococcus. No difference was determined between the patients diagnosed before and after 2007 in respect of the frequency of viridans streptococcus (p > 0.05). Septic emboli were seen in 18 (26%) patients, of which 17 required surgical treatments. In 5 of 11 (16.6%) patients with mortality, the agent was S. aureus. Of the total 28 (41%) patients were evaluated as hospital-acquired endocarditis. The most frequently determined agents in this group were staphylococcus epidermidis and S. aureus.

Although CHDs continue to be the greatest risk factor for endocarditis, there is an increasing frequency of endocarditis in patients with no structural heart disease. Mortality rates are still high in infective endocarditis, especially in S. aureus endocarditis.

Keywords

CHDinfective endocarditispaediatricnormal heart structure
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 10 , October 2023 , pp. 1950 - 1955
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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Footnotes

Yasin Güzel takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.

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