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Acute Kingella kingae endocarditis with recurrent cerebral emboli in a child with mitral prolapse
Author(s) -
Lee Wei Ling,
Dooling Elizabeth C.
Publication year - 1984
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.410160117
Subject(s) - kingella kingae , medicine , endocarditis , vegetation (pathology) , antibiotic therapy , surgery , infective endocarditis , mitral valve prolapse , mitral valve , girl , antibiotics , cardiology , pathology , psychology , septic arthritis , developmental psychology , arthritis , microbiology and biotechnology , biology
An 11‐year‐old girl had sudden onset of right hemiplegia and dysphasia with fever. Blood cultures grew Kingella kingae . Echocardiography showed a prolapsed mitral valve vegetation, which became larger during a prolonged course of antibiotics. After seven weeks of therapy, when surgery was being planned, the child deteriorated abruptly. A repeat echocardiogram showed that the vegetation had disappeared. Conservative medical management is usually inadequate in treating vegetations associated with bacterial endocarditis; surgery is advised.