Visual Diagnosis: Teenager with Fever, Petechiae, Confusion, and Weakness

Senthil Velan Bhoopalan, Rupesh Kumar Natarajan, David Di John

Research output: Contribution to journalArticlepeer-review


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
Issue number1
StatePublished - Jan 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2018 American Academy of Pediatrics.All right reserved.


  • Adolescent
  • Anti-Bacterial Agents/therapeutic use
  • Confusion/etiology
  • Echocardiography/methods
  • Endocarditis, Bacterial/complications
  • Female
  • Fever/etiology
  • Humans
  • Mitral Valve/pathology
  • Muscle Weakness/etiology
  • Purpura/etiology
  • Staphylococcal Infections/complications
  • Staphylococcus aureus/isolation & purification

PubMed: MeSH publication types

  • Case Reports
  • Journal Article


Dive into the research topics of 'Visual Diagnosis: Teenager with Fever, Petechiae, Confusion, and Weakness'. Together they form a unique fingerprint.

Cite this