Bacterial endocarditis in a child with a Broviac catheter.
Broviac and Hickman catheters facilitate the care of children with cancer but provide a source of potential infection. We describe a child with a Broviac catheter who developed left-sided bacterial endocarditis in whom right-to-left atrial shunting was documented following catheter flushing. Following removal of the catheter and administration of prolonged intravenous antibiotics, recovery was complete and cardiac function returned to normal.
Becton
D L
DL
Department of Pediatrics, Duke University Medical Center, Durham, North Carolina 27710.
Friedman
H S
HS
Armstrong
B E
BE
Kurtzburg
J
J
Chaffee
S
S
Falletta
J M
JM
Kinney
T R
TR
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000382:microbiology; D004699:Endocardium / Q000293:injuries; D006325:Heart Atria; D006801:Humans; D007223:Infant; D015479:Leukemia, Myelomonocytic, Acute / Q000150:complications / Q000188:drug therapy; D008297:Male; D011552:Pseudomonas Infections / Q000209:etiology* / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D013203:Staphylococcal Infections / Q000209:etiology* / Q000382:microbiology; D013212:Staphylococcus epidermidis / Q000302:isolation & purification