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Titolo:
Bacterial endocarditis in a child with haemophilia B: risks of central venous catheters
Autore:
Hothi, DK; Kelsall, W; Baglin, T; Williams, DM;
Indirizzi:
Addenbrookes NHS Trust, Dept Paediat, Cambridge CB2 2QQ, England Addenbrookes NHS Trust Cambridge England CB2 2QQ bridge CB2 2QQ, England Addenbrookes NHS Trust, Dept Haematol, Cambridge CB2 2QQ, England Addenbrookes NHS Trust Cambridge England CB2 2QQ bridge CB2 2QQ, England
Titolo Testata:
HAEMOPHILIA
fascicolo: 5, volume: 7, anno: 2001,
pagine: 507 - 510
SICI:
1351-8216(200109)7:5<507:BEIACW>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMPLICATIONS; HEMOPHILIA; MANAGEMENT; EXPERIENCE; INFECTIONS; MORTALITY;
Keywords:
bacterial endocarditis; central venous catheters; haemophilia B; needle phobia; pulmonary emboli;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Williams, DM Addenbrookes NHS Trust, Dept Paediat, Hills Rd, Cambridge CB22QQ, England Addenbrookes NHS Trust Hills Rd Cambridge England CB2 2QQ nd
Citazione:
D.K. Hothi et al., "Bacterial endocarditis in a child with haemophilia B: risks of central venous catheters", HAEMOPHILIA, 7(5), 2001, pp. 507-510

Abstract

The use of central venous catheters may be complicated by thrombosis and infection. We report a case of a needle-phobic 5-year-old boy with factor IXdeficiency, in whom a portacath was inserted owing to poor compliance withprophylactic treatment. Within a week, he developed a Staphylococcus aureus line infection that was treated with a 2-week course of intravenous antibiotics. One month later he presented with nonspecific symptoms and blood cultures again grew S. aureus. An echocardiogram revealed a large vegetation adherent to the tricuspid valve, confirming the diagnosis of bacterial endocarditis. His clinical course was further complicated by the development ofpulmonary emboli. Medical treatment with intravenous antibiotics led to a successful resolution of the endocarditis and pulmonary emboli with a favourable long-term outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 15:09:49