Dental care management in children with high risk of Infective Endocarditis: Case report.

Authors: Amina Labidi, Imen Jazi, Atika Bouabid, Manel Chalbi, Jihen Zaroui, Mohamed Ali Chamli.

 Abstract:

Introduction

Infective endocarditis (IE) presents a high risk in pediatric patients suffering from a congenital heart disease when proceeding dental acts. Antibiotic prophylaxis (AP) is primordial to avoid IE in individuals with high-risk, mainly before invasive dental procedures.

Observation

Two clinical cases were reported: a 10-year-old girl affected by Down syndrome and a presenting a non-surgically repaired ventricular septal defect, and a 9-year-old girl with Williams-Beuren syndrome, a prosthetic heart valve and allergy to penicillin. These two cited patients were referred to our service (pediatric dental service in Rabta hospital) for oral examination and management. Several decayed teeth were noticed during the clinical and radiographic investigations. These damaged teeth were indicated for extraction, under antibiotic prophylaxis (penicillin for the first patient and macrolide for the second one).

Discussion

The presented clinical cases confirmed how essential it is to treat, as early as possible and with proper AP, pediatric patients with high risk of IE. The recent and updated research proves that the strategic use of AP remarkably decreases the incidence of IE after invasive dental treatments. An interdisciplinary approach between pediatric dentists and cardiologists is crucial to guarantee an effective and proper management.

Keywords:

Antibiotic prophylaxis, Infective endocarditis, Dental Care, Child.

Telecharger le PDF