caa a22 4500 47706938X CHVBK 20180405111420.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/BF02845245 doi (NATIONALLICENCE)springer-10.1007/BF02845245 Infective endocarditis in infants and children [Elektronische Daten] [A. Bhat, S. Jalal, V. John, A. Bhat] Due to changing characteristics of infective endocarditis in the past two decades, we, retrospectively analysed 28 cases of infective endocarditis in children of age less than 15 years at Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar from December, 1983 to November, 1993. The incidence of disease was observed as 1.5 cases/1000 children admitted with a M:F ratio of 2∶1. Three patients were of age less than 2 years (group I) as 25 were above 2 years of age (group II). The two groups had significant difference in portal of entry of infection, infective microorganisms, echocardiography and prognosis. Congenital heart disease was the commonest underlying cardiac lesion in 24 (85.71%) patients. Portal of entry of infection was apparent in 35.71% only; dental route being more frequent in group II. Streptococcus viridans (in 9 cases) followed by staphylococcus aureus (in 4 cases) were the two common organisms isolated. Patients were treated, for a period of 4-6 weeks with a over all mortality rate of 25%. Factors associated with poor prognosis were age <2 years, staphylococcal infection ad negative blood cultures. Heart failure resistant to medical therapy was a leading cause of death. Dr. K C Chaudhuri Foundation, 1996 infective endocarditis nationallicence Enchocardiography nationallicence Prognosis nationallicence Bhat A. Department of Cardiology, Shere-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India aut Jalal S. Department of Cardiology, Shere-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India aut John V. Department of Cardiology, Shere-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India aut The Indian Journal of Pediatrics Springer India 63/2(1996-03-01), 204-209 0019-5456 63:2<204 1996 63 12098 https://doi.org/10.1007/BF02845245 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02845245 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bhat A. Department of Cardiology, Shere-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India aut NATIONALLICENCE 700 1- Jalal S. Department of Cardiology, Shere-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India aut NATIONALLICENCE 700 1- John V. Department of Cardiology, Shere-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India aut NATIONALLICENCE 773 0- The Indian Journal of Pediatrics Springer India 63/2(1996-03-01), 204-209 0019-5456 63:2<204 1996 63 12098 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer