All issues > Volume 21(12); 1978

Original Article

J Korean Pediatr Soc. 1978;21(12):1110-1115. Published online December 31, 1978.

Clinical observation on subacute bacterial endocarditis with emphasis on pulmonary perfusion scan in the diagnosis of pulmonary infarction.

Byong Kwan Son, Hyung Ro Moon

¹Department of Pediatrics, College of Medicine, Seoul National University, Korea.

Abstract

Total thirteen cases of subacute bacterial endocarditis were seen at the Department of Pediatrics, Seoul National University hospital from January 1971 to September 1978. Among them, twelve patients' medical records were analyzed for clinical data and particular attention was given on the usefulness of pulmonary perfusion scan in the diagnosis of pulmonary infarction, which is the one of the frequent and important complications of subacute bacterial endocarditis. The youngest patient was 2 years and 5 months old and the oldest patient was 15 years and 6 months old. Boys to girls ratio was 2:1. Congenital heart disease was noticed in 11 patients and there was no patient with rheumatic heart disease among cases observed. Blood cultures were positive in 7 cases. In three cases alpha hemolytic Streptococci were cultured and in another three coagulate positive Staphylococci and in one Pseudomonas were revealed Clinically- pulmonary infarction was suspected in 6 patients. Among them, pulmonary perfusion scan was performed in 3 patients, confirming pulmonary infarction in all.

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