Korean J Pediatr.  2016 Feb;59(2):96-99. 10.3345/kjp.2016.59.2.96.

Successfully treated infective endocarditis caused by methicillin-resistant Staphylococcus Aureus in extremely low birth weight infant

• Jung S
• Jeong KU
• Lee JH
• Jung JW
• Park MS

• KMID: 2155929
• DOI: http://doi.org/10.3345/kjp.2016.59.2.96

Abstract

Survival rates of preterm infants have improved in the past few decades, and central venous catheters play an important role in the intensive medical treatment of these neonates. Unfortunately, these indwelling catheters increase the risk of intracardiac thrombosis, and they provide a nidus for microorganisms during the course of septicemia. Herein, we report a case of persistent bacteremia due to methicillin-resistant Staphylococcus aureus in an extremely low birth weight (ELBW) infant, along with vegetation observed on an echocardiogram, the findings which are compatible with a diagnosis of endocarditis. The endocarditis was successfully treated with antibiotic therapy, and the patient recovered without major complications. We suggest a surveillance echocardiogram for ELBW infants within a few days of birth, with regular follow-up studies when clinical signs of sepsis are observed.

Keyword

Extremely low birth weight infant; Endocarditis; Central venous catheterization; Methicillin-resistant Staphylococcus aureus

MeSH Terms

Bacteremia
Catheterization, Central Venous
Catheters, Indwelling
Central Venous Catheters
Diagnosis
Endocarditis*
Follow-Up Studies
Humans
Infant
Infant, Extremely Low Birth Weight*
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Methicillin Resistance*
Methicillin-Resistant Staphylococcus aureus*
Parturition
Sepsis
Survival Rate
Thrombosis