Infective endocarditis in black South African children: report of 10 cases with some unusual features.
Ten black South African children with infective endocarditis seen over a 2-year period are reported. In five cases, including two neonates, the infection was nosocomial and in five cases it occurred in children with previously normal hearts. Of the bacteria isolated from nine cases, five were Staphylococcus aureus (all from nosocomial cases), one was Haemophilus influenzae and three were corynebacteria. The unusual aspects of this series are discussed, with an emphasis on preventing nosocomial cases and on making the diagnosis in children without underlying heart disease.
Berkowitz
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Department of Pediatrics, Baragwanath Hospital, Johannesburg, Republic of South Africa.
Dansky
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D001741:Black or African American; D044383:Black People; D002648:Child; D002675:Child, Preschool; D003354:Corynebacterium Infections; D003428:Cross Infection / Q000208:ethnology*; D004697:Endocarditis, Bacterial / Q000208:ethnology*; D005260:Female; D006192:Haemophilus Infections; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D013019:South Africa; D013203:Staphylococcal Infections