Journal Article

Endocarditis Caused by Group A <i>β</i>-Hemolytic <i>Streptococcus</i> in an Infant: Case Report and Review

Amy Winterbotham, Steven Riley, Ann Kavanaugh-McHugh and Terence S. Dermody

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 29, issue 1, pages 196-198
Published in print July 1999 | ISSN: 1058-4838
Published online July 1999 | e-ISSN: 1537-6591 | DOI: https://dx.doi.org/10.1086/520153
Endocarditis Caused by Group A β-Hemolytic Streptococcus in an Infant: Case Report and Review

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Acute bacterial endocarditis in the absence of underlying heart disease is rare. We report the occurrence of endocarditis caused by group A β-hemolytic Streptococcus (GABHS), following varicella, in a 5-month-old child without heart disease. In addition to this child, seven other children with endocarditis caused by GABHS have been reported since 1966, six of whom did not have preexisting heart disease. In one of these children, GABHS endocarditis was preceded by varicella. These cases indicate that GABHS is capable of causing endocarditis in the absence of heart disease, and they provide further evidence that varicella is an important risk factor for invasive GABHS infections.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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