From: Two cases and a review of Streptococcus pyogenes endocarditis in children
Casea# [ref] | Year | Age, Sex | Pre-existing cardiac abnormalities | Preceding infection | Valve(s) affected | Complications | Emboli | Surgery | Outcome |
---|---|---|---|---|---|---|---|---|---|
1 [12] | 1942 | 2y, M | None | None | Mitral | • Splenomegaly | Brain, Peripheral, Renal, Spleen | No | Death |
• Bronchopneumonia | |||||||||
• Painful swollen joints | |||||||||
2 [3] | 1975 | 6 m, M | None | Meningitis | Aortic | • Microscopic hematuria | None | No | Recovered with cardiomegaly and decreased cardiac function |
• LVHb | |||||||||
• Aortic insufficiency and CHFc | |||||||||
• Left sinus of Valsalva aneurysum | |||||||||
3 [13] | 1977 | 14y, M | VSDd closed surgically at age 6, aortic stenosis | Tonsillitis | Aortic | • Myocardial abscesses | Not reported | No | Death |
• Rupture of sinus of Valsalva into left ventricle | |||||||||
4 [4] | 1980 | 16y, M | None | Febrile sore throat | Aortic | • Respiratory distress requiring intubation and ventilation | Peripheral, Renal | No | Recovered |
• Renal failure (resolved) | |||||||||
5 [2] | 1984 | 2y, M | Pulmonic stenosis | None | Aortic and Mitral | • Pulmonary edema | Brain, Spleen | No | Death |
• LVHb | |||||||||
• Aortic insufficiency | |||||||||
• Proliferative glomerulonephritis | |||||||||
6 [6] | 1988 | 4 m, F | None | Varicella | Aortic | • Para-aortic abscess | None | No | Death |
• CHFc and pulmonary edema | |||||||||
7 [14] | 1988 | 4y, F | None | None | Aortic | • Polyarthritis | None | Yes | Recovered with small VSDd |
• Aortic regurgitation | |||||||||
• Sinus of Valsalva aneurysm | |||||||||
8 [7] | 1992 | 3y, F | None | None | Mitral | • Left-sided hemiparesis | Brain, Peripheral | No | Recovered with left-sided weakness and mitral regurgitation |
• Microscopic hematuria | |||||||||
• Mitral regurgitation | |||||||||
• Pericardial effusion | |||||||||
• Required vasopressors and intubation | |||||||||
9 [5, 15] | 1998 | 14y, M | None | None | Mitral | • Right cerebral infarction | Brain | No | Recovered with left-sided weakness |
10 [5] | 1999 | 5 m, M | None | Varicella | Mitral | • Seizure | Peripheral | Yes | Recovered |
• Respiratory failure | |||||||||
• Hypotension | |||||||||
• Mitral regurgitation with anterior leaflet tear | |||||||||
• Aortic root abscess | |||||||||
• Toe autoamputation | |||||||||
11 [16] | 2000 | 4y, M | None | None | Mitral | • Mitral regurgitation | Left foot | Yes | Recovered |
• Necrosis of 2 toes requiring amputation | |||||||||
12 [16] | 2000 | 2y, M | None | Varicella | Aortic | • Aortic root abscess | Brain, Peripheral | Yes | Recovered with left hemiplegia |
• Aortic valve perforation | |||||||||
• Focal seizures | |||||||||
13 [8] | 2000 | 3y, M | None | Varicella | Aortic | • Joint pain | Peripheral | Yes | Recovered |
• Bilateral pulmonary infiltrates | |||||||||
• Elevated LFTse | |||||||||
• Aortic insufficiency | |||||||||
• Left ventricular dilatation leading to CHFc |