title: [Osler endocarditis of a ventricular septal defect in a 21-month old child].
abstract: The authors report a case of streptococcus mitis endocarditis of a ventricular septal defect in a 21 months old girl admitted for necrotic purpura of the lower limbs and a history of general ill health and pyrexia for two months. The severity of this case of endocarditis was illustrated by the importance of the vasculitis, the biological signs of infection (disseminated intravascular coagulation), and the size of the vegetation. The vegetation extended from the tricuspid valve as far as the pulmonary orifice which was partially obstructed, causing signs of right ventricular failure. The portal of entry was not found. Surgical ablation of the vegetation with tricuspid valvuloplasty was necessary after 48 hours of antibiotherapy. The outcome after one year's follow-up is good. The diagnosis of bacterial endocarditis must be considered even in very young children, especially those with congenital heart disease, and, in particular, ventricular septal defect.
authors.affiliation: Pôle thoracique et cardiovasculaire, hôpital G.-et-R.-Laennec, CHU, Nantes.
authors.forename: A
authors.initials: A
authors.lastname: Legendre
authors.forename: P
authors.initials: P
authors.lastname: Guérin
authors.forename: V
authors.initials: V
authors.lastname: Gournay
authors.forename: O
authors.initials: O
authors.lastname: Baron
authors.forename: D
authors.initials: D
authors.lastname: Leveiller
authors.forename: M
authors.initials: M
authors.lastname: Lefevre
mesh_terms: D004452:Echocardiography; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007223:Infant; D013290:Streptococcal Infections / Q000175:diagnosis*; D014261:Tricuspid Valve; D014657:Vasculitis / Q000209:etiology
vernacular_title: Endocardite d'Osler sur communication interventriculaire chez un enfant de 21 mois.