Indramohan Gitanjali, John Sheba, Greenleaf Christopher E, Duraisamy Balaguru
Division of Pediatric Critical Care, Department of Pediatrics, University of Texas McGovern Medical School at Houston, Houston, Texas.
Division of Pediatric Cardiology, Department of Pediatrics, University of Texas McGovern Medical School at Houston, Houston, Texas.
Proc (Bayl Univ Med Cent). 2020 Nov 20;34(2):291-293. doi: 10.1080/08998280.2020.1842089.
Infective endocarditis is a significant cause of morbidity and mortality in hospitalized patients, especially with the increasing use of indwelling catheters in critically ill children. Surgical excision is sometimes essential to relieve valvar dysfunction and reduce burden of infection. Here we present a preterm infant who developed refractory infective endocarditis and right heart failure with tricuspid valve vegetation likely related to an indwelling umbilical venous catheter. Infective endocarditis resolved after resection of the vegetation and tricuspid valve repair, followed by a 6-week course of antibiotics.
感染性心内膜炎是住院患者发病和死亡的重要原因，尤其是在危重症儿童中留置导管使用日益增加的情况下。手术切除有时对于缓解瓣膜功能障碍和减轻感染负担至关重要。在此，我们报告一名早产儿，其发生难治性感染性心内膜炎和右心衰竭，伴有可能与留置脐静脉导管相关的三尖瓣赘生物。在切除赘生物和修复三尖瓣后，感染性心内膜炎得以缓解，随后进行了为期6周的抗生素治疗。
