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  • Title: Unsuspected rheumatic heart underlying group B streptococcal endocarditis at the age of 20 months.
    Author: Moral L, Majó J, Rubio EM, Ruiz C, Casaldáliga J.
    Journal: Eur J Pediatr; 1992 Oct; 151(10):745-7. PubMed ID: 1425795.
    Abstract:
    The case is reported of a 20-month-old girl admitted to our centre for group B streptococcal endocarditis who died of complete atrioventricular block after a week of treatment. There was no history pointing to the presence of a heart disorder. Necropsy disclosed the surprising existence of a vast rheumatic carditis involving essentially the aortic and mitral valves, with bacterial superinfection of the former. The double rheumatic and infectious lesion in such a young patient with infective pseudo-aneurysms of the sinuses of Valsalva makes this an exceptional case.
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