Subtle bacterial endocarditis due to Kingella kingae in an infant: a case report

A 9-month-old infant presented with fever, dyspnoea, and a murmur. Echocardiography showed a mitral vegetation with significant regurgitation. Mitral valve plasty was performed on day 6, and was polymerase chain reaction positive for Kingella kingae. The cardiac outcome was favourable. This case ill...

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Veröffentlicht in:	Cardiology in the young 2010-08, Vol.20 (4), p.448-450
Hauptverfasser:	Youssef, Dany, Henaine, Roland, Di Filippo, Sylvie
Format:	Artikel
Sprache:	eng
Schlagworte:	Endocarditis, Bacterial - diagnosis Endocarditis, Bacterial - microbiology Endocarditis, Bacterial - therapy HACEK group Humans Infant infective endocarditis Kingella kingae Male Neisseriaceae Infections - diagnosis Neisseriaceae Infections - etiology Neisseriaceae Infections - therapy paediatrics polymerase chain reaction
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Zusammenfassung:	A 9-month-old infant presented with fever, dyspnoea, and a murmur. Echocardiography showed a mitral vegetation with significant regurgitation. Mitral valve plasty was performed on day 6, and was polymerase chain reaction positive for Kingella kingae. The cardiac outcome was favourable. This case illustrates a subtle presentation of K. kingae mitral valve infective endocarditis in a normal-cardaic infant, treated with early surgery, and the agent belonged to the HACEK (Haemophilus spp Actinobacillus actinomycetemcomitans, Capnocytophaga spp, Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae) group.
ISSN:	1047-9511 1467-1107
DOI:	10.1017/S1047951110000351