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Clinical Pediatrics
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Neonatal Mitral Valve Endocarditis

Diagnosis and Successful Management

Charles A. Bullaboy, MD

Pediatric Cardiology, 800 West Olney Road, Norfolk, Virginia 23507

John D. Coulson, MD

Department of Pediatrics, Division of Pediatric Cardiology, Children's Hospital of The King's Daughters, Eastern Virginia Medical School, Norfolk, Virginia

Rufus B. Jennings, JR, MD

Department of Pediatrics, Division of Pediatric Cardiology, Children's Hospital of The King's Daughters, Eastern Virginia Medical School, Norfolk, Virginia

David H. Johnson, MD

Department of Pediatrics, Division of Pediatric Cardiology, Children's Hospital of The King's Daughters, Eastern Virginia Medical School, Norfolk, Virginia

Although still considered to be a rare and mostly fatal illness, the reported incidence of neonatal bacterial endocarditis has increased during the past decade.1 This parallels the establishment of intensive supportive management of severely ill newborns with multiple medical problems. An extremely difficult diagnostic problem with protean manifestations, the presence of neonatal endocarditis should be vigorously sought in the at risk neonate.2 The authors report the first known case in America of successfully diagnosed and treated neonatal endocarditis involving the mitral valve.

Clinical Pediatrics, Vol. 29, No. 7, 398-400 (1990)
DOI: 10.1177/000992289002900707
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