RT Book, Section
A1 Chumley, Heidi
A1 Sabella, Camille
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114871121
T1 Bacterial Endocarditis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114871121
RD 2024/10/15
AB A  14-year-old  girl  with  a  history  of  mitral  regurgitation  that  complicated  rheumatic  heart  disease  was  brought  in  by  her  parents  after  two  weeks  of  intermittent  low-grade  fevers,  fatigue,  weakness,  arthralgias,  and  myalgias.  On  examination,  she  appeared  ill,  was  febrile,  and  had  a  heart  murmur.  Her  funduscopic  examination  revealed  Roth  spots  (Figures  44-1  and  44-2).  Her  blood  cultures  grew  Streptococcus  mitis.  An  echocardiogram  demonstrated  a  vegetation  on  the  mitral  valve.  She  was  hospitalized  and  treated  for  bacterial  endocarditis.