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

Senthil Velan Bhoopalan; Rupesh Kumar Natarajan; David Di John

doi:10.1542/pir.2017-0108

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

Senthil Velan Bhoopalan, Rupesh Kumar Natarajan, David Di John

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	E1-E6
Journal	Pediatrics in review
Volume	40
Issue number	1
DOIs	https://doi.org/10.1542/pir.2017-0108
State	Published - Jan 2019
Externally published	Yes

Bibliographical note

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

Keywords

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

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10.1542/pir.2017-0108

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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.",

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author = "Bhoopalan, {Senthil Velan} and Natarajan, {Rupesh Kumar} and John, {David Di}",

year = "2019",

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AU - Bhoopalan, Senthil Velan

AU - Natarajan, Rupesh Kumar

AU - John, David Di

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.

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KW - Adolescent

KW - Anti-Bacterial Agents/therapeutic use

KW - Confusion/etiology

KW - Echocardiography/methods

KW - Endocarditis, Bacterial/complications

KW - Female

KW - Fever/etiology

KW - Humans

KW - Mitral Valve/pathology

KW - Muscle Weakness/etiology

KW - Purpura/etiology

KW - Staphylococcal Infections/complications

KW - Staphylococcus aureus/isolation & purification

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

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

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