Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-24T07:28:27.541Z Has data issue: false hasContentIssue false
  • English
  • Français

Fever without a source in children with congenital heart disease

Published online by Cambridge University Press:  13 July 2020

Alvaro DonaireGarcia ,
Brendan Burke ,
Samir Q. Latifi  and
Hemant S. Agarwal Open the ORCID record for Hemant S. Agarwal [Opens in a new window]
Alvaro DonaireGarcia
Affiliation:
Department of Pediatric Critical Care, Cleveland Clinic, Cleveland, OH44195, USA
Brendan Burke
Affiliation:
Department of Pediatric Critical Care, Cleveland Clinic, Cleveland, OH44195, USA
Samir Q. Latifi
Affiliation:
Department of Pediatric Critical Care, Cleveland Clinic, Cleveland, OH44195, USA
Hemant S. Agarwal*
Affiliation:
Department of Pediatric Critical Care, Cleveland Clinic, Cleveland, OH44195, USA
*
Author for correspondence: Hemant S. Agarwal, MBBS, FAAP, Department of Pediatric Critical Care, Cleveland Clinic, 9500 Euclid Avenue, M-14, Cleveland, OH44195, USA. Tel: +1-216-444-8498; Fax: +1-216-444-3310. E-mail: agarwah@ccf.org
Get access Rights & Permissions [Opens in a new window]

Abstract

Two paediatric congenital heart disease patients presented with a brief history of low-grade fever without any focal symptoms. Their clinical features and laboratory tests were unremarkable; however, their blood cultures were positive that prompted further work-up. Infective endocarditis should be considered in any paediatric congenital heart disease patient who presents with fever without any other associated clinical features.

Keywords

Fevercongenital heart diseaseinfective endocarditispediatricsclinical features
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 9 , September 2020 , pp. 1353 - 1355
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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

Knirsch, W, Nadal, D.Infective endocarditis in congenital heart disease. Eur J Pediatr 2011; 170: 1111–1127.CrossRefGoogle ScholarPubMed
Habib, G, Lancellotti, P, Antunes, MJ, et al. 2015 ESC Guidelines for the management of infective endocarditis: the task force for the management of infective endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J 2015; 36: 3075–3128.CrossRefGoogle Scholar
Murdoch, DR, Corey, GR, Hoen, B, et al.Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: the International collaboration on endocarditis-prospective cohort study. Arch Intern Med 2009; 169: 463–473.CrossRefGoogle ScholarPubMed
Barbour, SI, Louise, EK, O’Keefe, JP.Penetration of the atrioventricular septum by spread of infection from aorticvalve endocarditis: early diagnosis by transesophageal echocardiography and implications for surgical management. Am Heart J 1996; 132: 1287–1289.CrossRefGoogle Scholar
Martin, JM, Neches, WH, Wald, ER.Infective endocarditis: 35 years of experience at a children’s hospital. Clin Infect Dis 1997; 24: 669–675.CrossRefGoogle ScholarPubMed
Miranda, WR, Connolly, HM, Bonnichsen, CR, et al.Prosthetic pulmonary valve and pulmonary conduitendocarditis: clinical, microbiological and echocardiographic features in adults. Eur Heart J Cardiovasc Imag 2016; 17: 936–943.CrossRefGoogle ScholarPubMed
Saby, L, Laas, O, Habib, G, et al.Positron emission tomography/computed tomography for diagnosis of prostheticvalve endocarditis: increased valvular 18F-fluorodeoxyglucose uptake as a novel major criterion. J Am Coll Cardiol 2013; 61: 2374–2382.CrossRefGoogle ScholarPubMed
Mauritz, GJ, Wagenaar, L, van der Jagt, L, Bouman, D.Endocarditis of bovine Contegra valved conduit: a PET-CTspot diagnosis. Eur Heart J Cardiovasc Imaging 2015; 16: 1173.CrossRefGoogle ScholarPubMed
Jortveit, J, Klcovansky, J, Eskedal, L, Birkeland, S, Dohlen, G, Holmstrom, H.Endocarditis in children and adolescents with congenital heart defects: a Norwegian nationwide register-based cohort study. Arch Dis Child 2018; 103: 670–674.Google ScholarPubMed
Lewena, S. Infective endocarditis: experience of a paediatric emergency department. J Paediatr Child Health 2005; 41: 269–272.CrossRefGoogle ScholarPubMed
Kelchtermans, J, Grossar, L, Eyskens, B, et al.Clinical characteristics of infective endocarditis in children. Pediatr Infect Dis J 2019; 38: 453–458.CrossRefGoogle ScholarPubMed
National Center for Health Statistics. National Hospital Ambulatory Medical Care Survey, ED summary table 10. Ten leading principal reasons for emergency department visits, by patient age and sex: United States, 2011. Available at: http://www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2011_ed_web_tables.pdf. Accessed 20 February 2020.Google Scholar
Dayal, R, Agarwal, D. Fever in children and fever of unknown origin. Indian J Pediatr 2016; 83: 38–43. CrossRefGoogle ScholarPubMed