Please enable JavaScript.
Coggle requires JavaScript to display documents.
Infective Endocarditis (S+S (Fever, Malaise, Pallor (anaemia), Splinter…
Infective Endocarditis
Misc
All children with congenital heart disease are susceptible
Not ASD
Particularly those with turbulent flow
VSD
Coarctation
PDA
Prosthesis
Most commonly
α-haemolytic strep
S+S
Fever
Malaise
Pallor (anaemia)
Splinter haemorrhages
Clubbing (late
Necrotic skin lesions
Changing cardiac signs
Neurological signs following cerebral infarct
Retinal infarct
Arthralgia
Haematuria (microscopic)
Dx
3x blood cultures before antibiotics
Echo
Vegetations
Cannot rule out
Raised acute phase reactants
Mx
High dose penicillin +aminoglycloside
6 weeks
Serum level monitoring
Prophylaxis
Good dental higiene
Antibiotics not recommended