title: [Recurrent subacute endocarditis caused by Streptococcus mutans in a child].
abstract: Bacterial endocarditis belongs to the rare diseases in childhood. It occurs usually as a single episode and almost exclusively in children with congenital heart disease. In recent years, however, an increased number of renewed endocarditis after the first episode were reported, especially in drug addicts. We present a case of renewed subacute infective endocarditis 3 years and 9 months after complete recovery from the first one. Furthermore, using the available literatures, the role of risk factors, the change in spectrum of the infecting organisms, the diagnostic and therapeutic approach in cases with renewed infection are discussed.
authors.affiliation: Universitäts-Kinderklinik Leipzig.
authors.forename: F
authors.initials: F
authors.lastname: Hunkert
authors.forename: W
authors.initials: W
authors.lastname: Handrick
authors.forename: P
authors.initials: P
authors.lastname: Kinzel
authors.forename: P
authors.initials: P
authors.lastname: Schneider
authors.forename: F B
authors.initials: FB
authors.lastname: Spencker
authors.forename: E
authors.initials: E
authors.lastname: Günther
mesh_terms: D016470:Bacteremia / Q000175:diagnosis / Q000188:drug therapy; D002648:Child; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004698:Endocarditis, Subacute Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D005839:Gentamicins / Q000627:therapeutic use; D006330:Heart Defects, Congenital / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D010400:Penicillin G / Q000627:therapeutic use; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy; D012008:Recurrence; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013295:Streptococcus mutans
chemical_list: D005839:Gentamicins; D010400:Penicillin G
vernacular_title: Zweimalige Erkrankung an subakuter Endokarditis durch Streptococcus mutans bei einem Kind.