Teenager with fever, petechiae, confusion, and weakness

Senthil Velan Bhoopalan, Rupesh Kumar Natarajan, David Di John

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)E1-E6
JournalPediatrics in review
Volume40
Issue number1
DOIs
StatePublished - Jan 2019

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

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