Acute  Kingella kingae  endocarditis with recurrent cerebral emboli in a child with mitral prolapse | Zendy

Lee Wei Ling | Zendy; Dooling Elizabeth C. | Zendy

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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.

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