title: Bacterial endocarditis in a child with a Broviac catheter.
abstract: 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.
authors.affiliation: Department of Pediatrics, Duke University Medical Center, Durham, North Carolina 27710.
authors.forename: D L
authors.initials: DL
authors.lastname: Becton
authors.forename: H S
authors.initials: HS
authors.lastname: Friedman
authors.forename: B E
authors.initials: BE
authors.lastname: Armstrong
authors.forename: J
authors.initials: J
authors.lastname: Kurtzburg
authors.forename: S
authors.initials: S
authors.lastname: Chaffee
authors.forename: J M
authors.initials: JM
authors.lastname: Falletta
authors.forename: T R
authors.initials: TR
authors.lastname: Kinney
mesh_terms: 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