title: [Endocarditis caused by Streptococcus pneumoniae in children: case report and review].
abstract: Endocarditis caused by Streptococcus pneumoniae in children is an infrequent disease, corresponding to 3-7% of all cases of endocarditis. However, it is highly relevant because of its severity with the possibility of producing valvular ring abscesses and destruction, and high mortality that reaches up to 61% if medical and surgical treatment are not started early in the course of the illness. Over 50% of cases are associated to other sites of infection such as meningitis, pneumonia, sinusitis or mastoiditis. We report a 10-months-old infant who was admitted with meningitis and endocarditis due to S. pneumoniae, who presented with severe heart failure and required aortic valve replacement. A review of the literature of endocarditis caused by S. pneumoniae in pediatrics is presented.
authors.affiliation: Hospital Clínico, Pontificia Universidad Católica de Chile. mprado@med.puc.cl
authors.forename: M Alejandra
authors.initials: MA
authors.lastname: Prado
authors.forename: Nicole
authors.initials: N
authors.lastname: Le Corre
authors.forename: Tamara
authors.initials: T
authors.lastname: Viviani
authors.forename: Cecilia
authors.initials: C
authors.lastname: Perret
mesh_terms: D000208:Acute Disease; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007223:Infant; D008586:Meningitis, Pneumococcal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D012720:Severity of Illness Index; D013296:Streptococcus pneumoniae