FIRST CASE OF HUMAN INFECTION CAUSED BY PASTEURELLA-GALLINARUM CAUSING INFECTIVE ENDOCARDITIS IN AN ADOLESCENT 10 YEARS AFTER SURGICAL-CORRECTION FOR TRUNCUS-ARTERIOSUS

Objective. To report the first case of human infection (infective endo carditis IE) caused by Pasteurella gallinarum and to review the lite rature regarding IE caused by the genus Pasteurella. Setting. Universi ty hospital based. Patient. An adolescent boy who underwent successful correction for truncus arteriosus 10 years before the present illness . Results. Persistent fever, pallor, and a palpable spleen suggested I E clinically. Echocardiography documented vegetation in the conduit th at was used for surgical correction. Blood cultures grew P-gallinarum and confirmed its role as the causative organism for IE in the patient . Conclusion. This case illustrates that IE may develop in a child wit h congenital heart disease several years after surgical intervention u sing material that is foreign to the body (conduit), and that such a c omplication may involve unusual pathogens. These observation emphasize the need for careful long-term follow-up of children with congenital heart disease even after successful surgical correction.