Abstract
CLINICALLY apparent embolic episodes occur in about 20% of pediatric patients with bacterial endocarditis. 1,2 Emboli most frequently involve the lungs, brain, extremities, spleen, kidneys, and mesenteric vessels. 1-3 Emboli to the coronary arteries resulting in a myocardial infarction, while not uncommon in adults, 4,5 are rare in children 6 and usually result in sudden death. 6-8 The purpose of this report is to draw attention to the fact that myocardial infarction can complicate bacterial endocarditis in children, to discuss the appropriate therapy, and to document the favorable long-term outcome in a patient who survived with conservative therapy. Report of a Case A 15-year-old girl was admitted to Hartford Hospital, Hartford, Conn, in November 1978 because of acute onset of abdominal pain. At age 6 years, she had had rheumatic fever characterized by arthritis, erythema marginatum rash, and carditis that resulted in mitral insufficiency. Since then, she has received monthly
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JAMA: The Journal of the American Medical Association
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
