To the Editor: Blood-culture–negative endocarditis hasbeen described in about 12 percent of children with endocarditis.1Because of recent diagnostic advances, some of the pathogensresponsible for these cases have been identified.
A 13-year-old girl from Senegal was referred to our center forsurgical treatment of rheumatic heart disease, which had beendiagnosed when she was 8 years of age. She lived in a largecity in a stable environment, did not abuse drugs, and had noclose contact with cats. At admission, she was in good generalcondition and had no signs of intercurrent infection, fever,or lymphadenopathy. The . . . [Full Text of this Article]
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