Acute Kingella kingae endocarditis with recurrent cerebral emboli in a child with mitral prolapse.
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.
D001921:Brain / Q000000981:diagnostic imaging; D002544:Cerebral Infarction / Q000175:diagnosis; D002648:Child; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis*; D005260:Female; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000175:diagnosis*; D008826:Microbial Sensitivity Tests; D008945:Mitral Valve Prolapse / Q000150:complications*; D012008:Recurrence; D018805:Sepsis / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed