A 12-year-old child experiences high fever and chills. He also says that his heart feels like its pounding. Two weeks before these symptoms, the child fell off his bike and skinned his knee. This child also has a history of a heart murmur. What disease should be considered and what is the treatment

Here a 12-year old child experineces high fever and chills. He also says that his heart feels like its pounding.Two weeks before these symptoms, the child fell off his bike and skinned his knee. This child also has a history of a heart murmur.

The objective is to identify the disease and the treatment for the disease

Solution:

The child is experiencing infective endocardits.

Treatment with aqueous penicillin or ceftriaxone is more effective foe most infections caused by streptococci. The combination of penicillin or ampicillin with gentamicin is appropriate for endocarditis caused by enterococci that are not highly resistant to penicillin intial empiric therapy in patients with suspected endocrditis should include plus in an aminoglycoside

The valve replacement is considered in selected patients with infectious endocarditis

The common congental defects that cause hearts murmurs include holes in the heart or cardiac shunts which is known as septal defects.

luisvaschetto luisvaschetto · Answer 2 · 2021-12-30T12:33:34+01:00

The disease that should be considered is infective endocarditis whose treatment can be based on antibiotics.

Infective endocarditis is a type of infection in the internal heart tissue called the endocardium.

This disease (infective endocarditis) may be caused by different harmful microorganisms (.e.g, bacteria, fungi, etc), which in this case could have entered into the body through the skinned knee.

Infective endocarditis can be treated by using proper antibiotics to kill harmful microorganisms.

In conclusion, the disease that should be considered is infective endocarditis whose treatment can be based on antibiotics.

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