Successfully treated infective endocarditis caused by methicillin-resistant Staphylococcus Aureus in extremely low birth weight infant.
- Author:
Sehwa JUNG
1
;
Kyung Uk JEONG
;
Jang Hoon LEE
;
Jo Won JUNG
;
Moon Sung PARK
Author Information
- Publication Type:Case Report
- Keywords: Extremely low birth weight infant; Endocarditis; Central venous catheterization; Methicillin-resistant Staphylococcus aureus
- MeSH: 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
- From:Korean Journal of Pediatrics 2016;59(2):96-99
- CountryRepublic of Korea
- Language:English
- 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.
