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Reminder of important clinical lesson
CASE REPORT
Methicillin-sensible Staphylococcus aureus causing endocarditis, with cerebral and orthopaedic complications, in a 17-month-old child with no risk factor
  1. Guillaume Geslain1,2,
  2. Clara Bourgade3,
  3. Maryline Chomton1,
  4. Fleur Le Bourgeois1
  1. 1Paediatric Mobile Emergency and Intensive Care Units, Hopital Universitaire Robert-Debre, Paris, France
  2. 2Hopital Universitaire Robert-Debre, Department of Microbiology, Paris, France
  3. 3Department of Pediatric Cardiology, Hopital Universitaire Robert-Debre, Paris, France
  1. Correspondence to Dr Fleur Le Bourgeois, fleurlebourgeois{at}gmail.com

Summary

We report a case of Staphylococcus aureus endocarditis, with large vegetation, in a 17-month-old male infant, complicated with meningitis, ischaemic strokes and osteoarthritis leading to haemorrhagic stroke by aneurysm rupture. He did not present any risk factor for endocarditis. The final course was favourable through, after valve replacement. The strain was sensible to methicillin and belongs to complex clonal 398, with accessory gene regulator I. We did not found immunodeficiency.

  • Infectious Diseases
  • Paediatrics
  • Stroke
  • Bone And Joint Infections

https://doi.org/10.1136/bcr-2018-226388

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    Footnotes

    • Contributors FLB has written the article. GG has corrected the microbiological part of the article. CB has corrected the cardiological part of the article. MC has corrected the immunology part of the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.