乳児期骨髄炎より発症した心内膜炎に対し三尖弁置換を施行した1例

概要

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This paper reports a 6-month-old boy who suffered septicemia due to osteomyelitis of the lower limbs, subsequently diagnosed as endocarditis. This patient underwent early empiric antibiotic therapy indicated after appropriate culture, and tricuspid valve replacement with Ionescu-Shiley xenograft valve for severe tricuspid insufficiency at the age of 13-month-old. There are only a few reports of infective endocarditis in the infant as a complication of septicemia without the congenital heart disease, although it would be impressed that the these are increasing in young children because of venous drugs abuse and overwhelming infection. We emphasize the peculiarity of the valve replacement in children in whom selection of preferable valve and strict anticoagulant therapy are sometimes difficult.
日本小児外科学会の論文
1985-10-20