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Bacterial endocarditis in a child with haemophilia B: risks of central venous catheters
Author(s) -
Hothi D. K.,
Kelsall W.,
Baglin T.,
Williams D. M.
Publication year - 2001
Publication title -
haemophilia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.213
H-Index - 92
eISSN - 1365-2516
pISSN - 1351-8216
DOI - 10.1046/j.1365-2516.2001.00556.x
Subject(s) - medicine , endocarditis , antibiotics , pulmonary embolism , surgery , venous thrombosis , infective endocarditis , staphylococcus aureus , intravenous antibiotics , blood culture , subacute bacterial endocarditis , tricuspid valve , thrombosis , genetics , bacteria , microbiology and biotechnology , biology
The use of central venous catheters may be complicated by thrombosis and infection. We report a case of a needle‐phobic 5‐year‐old boy with factor IX deficiency, in whom a portacath was inserted owing to poor compliance with prophylactic treatment. Within a week, he developed a Staphylococcus aureus line infection that was treated with a 2‐week course of intravenous antibiotics. One month later he presented with nonspecific symptoms and blood cultures again grew S. aureus . An echocardiogram revealed a large vegetation adherent to the tricuspid valve, confirming the diagnosis of bacterial endocarditis. His clinical course was further complicated by the development of pulmonary emboli. Medical treatment with intravenous antibiotics led to a successful resolution of the endocarditis and pulmonary emboli with a favourable long‐term outcome.