Subtle bacterial endocarditis due to Kingella kingae in an infant: a case report.
A 9-month-old infant presented with fever, dyspnoea, and a murmur. Echocardiography showed a mitral vegetation with significant regurgitation. Mitral valve plasty was performed on day 6, and was polymerase chain reaction positive for Kingella kingae. The cardiac outcome was favourable. This case illustrates a subtle presentation of K. kingae mitral valve infective endocarditis in a normal-cardaic infant, treated with early surgery, and the agent belonged to the HACEK (Haemophilus spp Actinobacillus actinomycetemcomitans, Capnocytophaga spp, Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae) group.
Youssef
Dany
D
Department of Pediatric Cardiology and Congenital heart Diseases, Cardiovascular Hospital Louis Pradel and Claude Bernard Lyon-1 University, Lyon, France.
Henaine
Roland
R
Di Filippo
Sylvie
S
D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D007223:Infant; D017882:Kingella kingae; D008297:Male; D016870:Neisseriaceae Infections / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*