Hunkert F, Handrick W, Kinzel P, Schneider P, Spencker F B, Günther E
Universitäts-Kinderklinik Leipzig.
Klin Padiatr. 1995 Jan-Feb;207(1):1-3. doi: 10.1055/s-2008-1046498.
Bacterial endocarditis belongs to the rare diseases in childhood. It occurs usually as a single episode and almost exclusively in children with congenital heart disease. In recent years, however, an increased number of renewed endocarditis after the first episode were reported, especially in drug addicts. We present a case of renewed subacute infective endocarditis 3 years and 9 months after complete recovery from the first one. Furthermore, using the available literatures, the role of risk factors, the change in spectrum of the infecting organisms, the diagnostic and therapeutic approach in cases with renewed infection are discussed.
细菌性心内膜炎属于儿童期罕见疾病。它通常以单发形式出现，几乎仅见于患有先天性心脏病的儿童。然而，近年来，有报道称首次发作后复发性心内膜炎的病例有所增加，尤其是在吸毒者中。我们报告一例在首次发作完全康复3年9个月后发生复发性亚急性感染性心内膜炎的病例。此外，结合现有文献，讨论了危险因素的作用、感染病原体谱的变化以及复发性感染病例的诊断和治疗方法。
