J Korean Pediatr Soc.  1978 Dec;21(12):1110-1115.

Clinical observation on subacute bacterial endocarditis with emphasis on pulmonary perfusion scan in the diagnosis of pulmonary infarction

• Son BK
• Moon HR

Abstract

Total thirteen cases of subacute bacterial endocarditis were seen at the Department of Pediatrics, Seoul National University hospital from January 1971 to September 1978. Among them, twelve patients' medical records were analyzed for clinical data and particular attention was given on the usefulness of pulmonary perfusion scan in the diagnosis of pulmonary infarction, which is the one of the frequent and important complications of subacute bacterial endocarditis. The youngest patient was 2 years and 5 months old and the oldest patient was 15 years and 6 months old. Boys to girls ratio was 2:1. Congenital heart disease was noticed in 11 patients and there was no patient with rheumatic heart disease among cases observed. Blood cultures were positive in 7 cases. In three cases alpha hemolytic Streptococci were cultured and in another three coagulate positive Staphylococci and in one Pseudomonas were revealed Clinically- pulmonary infarction was suspected in 6 patients. Among them, pulmonary perfusion scan was performed in 3 patients, confirming pulmonary infarction in all.

MeSH Terms

Diagnosis*
Endocarditis, Subacute Bacterial*
Female
Heart Defects, Congenital
Humans
Infant
Medical Records
Pediatrics
Perfusion*
Pseudomonas
Pulmonary Infarction*
Rheumatic Heart Disease
Seoul