Unique Clinical Manifestation of Infective Endocarditis in Children: A Case Series

Sri Endah  Rahayuningsih; Rahmat Budi  Kuswiyanto; Putria  Apandi; Djatnika  Setiabudi; Berton Juniper  Manurung; Monika  Hasna

doi:10.3889/oamjms.2023.11223

Authors

Sri Endah Rahayuningsih Department of Child Health, Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia https://orcid.org/0000-0003-1396-5285
Rahmat Budi Kuswiyanto Department of Child Health, Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia
Putria Apandi Department of Child Health, Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia
Djatnika Setiabudi Department of Child Health, Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia
Berton Juniper Manurung Department of Child Health, Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia https://orcid.org/0000-0001-9796-6597
Monika Hasna Department of Child Health, Hasan Sadikin General Hospital/Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.11223

Keywords:

Unique manifestation, Infective endocarditis, Neonate

Abstract

BACKGROUND: Infective endocarditis (IE) was a significant cause of morbidity and mortality, particularly in children with congenital heart disease (CHD). Infective endocarditis could occur in all ages with higher in children below 1-year-old, including neonates. Various clinical manifestations of IE in children make it difficult to make a prompt diagnosis and appropriate management. Finding in echocardiography could help clinicians determine the diagnosis of IE. Systemic embolization could cause many complications that may present as chief complaint underlying patient hospitalization.

CASE PRESENTATION: We present case series of diverse manifestation of IE in children in Bandung, West Java, Indonesia. Two cases had a history of structural heart disease, while one case with no history of any structural heart disease before.

CONCLUSION: Wide range of symptoms that could occur in children with IE, made it challenging to make a proper diagnosis.

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