Infective endocarditis in a child masquerading as vasculitis: case report.
Since both vasculitis syndromes and infective endocarditis may present with multi-system involvement, they can pose a diagnostic dilemma. A 10-year-old boy was admitted with multi-system disease secondary to embolic complications of infective endocarditis. Echocardiography demonstrated mitral valve prolapse and moderate mitral regurgitation with vegetations on the anterior and posterior mitral leaflet. Despite supportive treatment, his general condition deteriorated and he died 3 days after admission.
Department of Pediatric, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India. drzakisyed@gmail.com
S A
SA
Zaki
P
P
Shanbag
Y A
YA
Gokhale
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001921:Brain / Q000000981:diagnostic imaging; D002316:Cardiotonic Agents / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D004077:Digoxin / Q000627:therapeutic use; D004452:Echocardiography; D004696:Endocarditis / Q000175:diagnosis* / Q000473:pathology* / Q000628:therapy; D017809:Fatal Outcome; D006801:Humans; D020766:Intracranial Embolism / Q000473:pathology; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis; D008945:Mitral Valve Prolapse / Q000175:diagnosis; D010530:Peritoneal Dialysis; D011859:Radiography; D014054:Tomography; D014640:Vancomycin / Q000627:therapeutic use; D014657:Vasculitis / Q000473:pathology*
D000900:Anti-Bacterial Agents; D002316:Cardiotonic Agents; D014640:Vancomycin; D004077:Digoxin