TY - JOUR
T1 - Teenager with fever, petechiae, confusion, and weakness
AU - Bhoopalan, Senthil Velan
AU - Natarajan, Rupesh Kumar
AU - John, David Di
N1 - Publisher Copyright:
© 2018 American Academy of Pediatrics.All right reserved.
PY - 2019/1
Y1 - 2019/1
N2 - Infective endocarditis is an uncommon but serious pediatric condition that requires a high degree of suspicion to diagnose.? Infectious endocarditis has been reported in patients withoutany risk factors and even in the presence of normal cardiacexamination findings. Most pediatric patients present withnonspecific signs and symptoms, which further highlights theimportance of a thorough physical examination in childrenpresenting with unexplained fever.? Blood culture and echocardiography are the most importantinitial diagnostic tests. Empirical treatment includes vancomycinand gentamicin (with rifampin for patients with prostheticvalves) until culture and sensitivity results are available.
AB - Infective endocarditis is an uncommon but serious pediatric condition that requires a high degree of suspicion to diagnose.? Infectious endocarditis has been reported in patients withoutany risk factors and even in the presence of normal cardiacexamination findings. Most pediatric patients present withnonspecific signs and symptoms, which further highlights theimportance of a thorough physical examination in childrenpresenting with unexplained fever.? Blood culture and echocardiography are the most importantinitial diagnostic tests. Empirical treatment includes vancomycinand gentamicin (with rifampin for patients with prostheticvalves) until culture and sensitivity results are available.
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U2 - 10.1542/pir.2017-0108
DO - 10.1542/pir.2017-0108
M3 - Article
C2 - 30600282
AN - SCOPUS:85059433777
SN - 0191-9601
VL - 40
SP - E1-E6
JO - Pediatrics in review
JF - Pediatrics in review
IS - 1
ER -