Neonatal Staphylococcus aureus pancarditis: report of one case.
Due to poor feeding, decreased activity and severe abdominal distension, a 20-day old female infant was admitted to our hospital. The patient was diagnosed as having necrotizing enterocolitis and received a multiple segmental resection. During the hospitalization, recurrent sepsis and candidiasis occurred. On the 56th day of admission, tachycardia, thrombocytopenia and cardiomegaly were noted. Sudden onset of cardiac arrest occurred and a post-mortem examination revealed staphylococcal pancarditis. Pancarditis is a rare and fatal disease in newborns. When a patient with a catheter insertion shows unknown cause of thrombocytopenia and acute onset of cardiomegaly, an echocardiogram is highly suggested. Early diagnosis and proper parenteral antibiotics may be life-saving.
Chen
C H
CH
Department of Pediatrics, Taichung Veterans General Hospital, Taiwan, R.O.C.
Peng
H C
HC
Ho
W L
WL
Su
M C
MC
Chi
C S
CS
D000208:Acute Disease; D004697:Endocarditis, Bacterial / Q000209:etiology*; D004761:Enterocolitis, Pseudomembranous / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D013203:Staphylococcal Infections / Q000209:etiology*