Resumen

CARRANZA, Alfonso; RIVERA, Patricia; GUTIERREZ, Rafael  y  HERNANDEZ, Francisco. Endocarditis aguda estafilococcica fatal con periodontitis severa. Rev. costarric. cienc. méd [online]. 2000, vol.21, n.3-4, pp.171-177. ISSN 0253-2948.

Infectious endocarditis is usually associated with alteration of the cardiac tissues that promotes deposits of fibrin in which bacteria, mainly Streptococcus spp., establish and shed to blood. The diagnosis is made with ecocardiograph images, blood cultures, clinical syntoms and signs. The present case correspond to a child less than two years old that developed an endocarditis associated with Staphylococcus aureus infection. The cause of dead was due to a septic shock with multiple septic emboli in diverse organs. The possible entrance of the bacteria to the blood stream was a severe bleeding gingivitis. This case indicates that a poor oral hygiene represented a risk of bacterial invasion and infection of the normal cardiac tissues. In our country frequently there are cases of children with oral lesions like those observed in the present case. For this reason it is important a proper attention and care of these patients.

Palabras clave : Acute infectious endocarditis; oral sepsis; pour oral hygiene; ecocardiography.