Abstract
This article analyzes recent original papers and reviews concerning the results of diagnosis, medical and surgical treatment of infective endocarditis (IE) in children. The arguments about the need to supplement the Duke criteria and the features of the current course of IE in children are discussed. We also demonstrate cases of pediatric IE including those in newborns and young children after cardiac surgery and in children without heart abnormalities. Cases of fatal course of pneumococcal IE in newborns and successful cases of surgical treatment of early and late prosthetic IE in children are analyzed. Сases of difficult diagnosis of “possible” and “excluded” IE are discussed. Data from these patients confirm that among the main factors that critically worsen the prognosis in IE in children of any age, and especially in newborns and infants, the most significant are late diagnosis, irrational antibiotic therapy, and delayed cardiac surgery.
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About the authors
- Elena A. Degtyareva, Dr. Med. Sci., Professor, Head of the Department of Pediatric Cardiology, Faculty of Continuing Medical Education of Medical Institute Peoples’ Friendship University, President of Children's Infectious Diseases Clinical Hospital No 6; ORCID
- Ol’ga I. Zhdanova, Cand. Med. Sci., Chief Physician; ORCID
- Evgeniya S. Pavlova, Cand. Med. Sci., Deputy Chief Physician, Chief Pediatric Cardiologist Northern Administrative District of Moscow; ORCID
- Marina G. Kantemirova, Cand. Med. Sci., Associate Professor, Deputy Director; ORCID
- Dmitriy Yu. Ovsyannikov, Dr. Med. Sci., Chief of Chair; ORCID
- Aleksey S. Zakrevskiy, Assistant Professor of Department of Pediatric Cardiology, Faculty of Continuing Medical Education of Medical Institute Peoples’ Friendship University, Head of the Cardiology Department Podolsky City Children's Hospital; ORCID
- Ol’ga V. Korovina, Assistant Professor; ORCID
