Infectious Diseases and Clinical Microbiology

Infectious Diseases: Diagnosis, Treatment & Travel Medicine

Infectious diseases are caused by viruses, bacteria, or parasites, spreading through contact or air and often requiring early diagnosis and proper treatment.

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Symptoms and Transmission

Infectious diseases can affect a child’s heart when viruses or bacteria attack the heart muscle or valves. Parents should recognize early warning signs so doctors can treat the condition promptly. This section outlines key symptoms and how these infections spread.

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Common Warning Signs of Infection

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It is not always easy to tell when a child has a heart infection. The signs can look like the flu or a bad cold. However, symptoms that last a long time or get worse are a concern. Parents should watch for changes in energy and breathing.

Look for these early warning signs:

  • Fever that does not go away: A high temperature that lasts for days, even with medicine.
  • Extreme tiredness: The child is sleeping more than usual or has no energy to play.
  • Shortness of breath: Breathing fast or hard, even when resting.
  • Poor appetite: Refusing to eat or drinking less milk than normal.
  • Pale or cool skin: The skin may look washed out or feel clammy.
  • Fast heartbeat: The heart feels like it is racing or fluttering.
  • Joint pain: Soreness or swelling in the knees, elbows, or ankles.
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Specific Symptoms of Myocarditis

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Myocarditis is an infection of the heart muscle. It is usually caused by a virus. The swelling weakens the heart. This makes it hard for the heart to pump blood.

Watch for these specific signs:

  • Chest pain that feels like squeezing.
  • Trouble breathing when lying flat.
  • Swelling in the legs or feet (edema).
  • Fainting spells (syncope).

If a child has had a recent viral illness, like the flu, and then develops these signs, see a doctor.

Specific Symptoms of Endocarditis

Endocarditis is an infection of the heart’s inner lining or valves. It is usually caused by bacteria. This is rare but serious. It often happens in children who already have heart problems.

Watch for these specific signs:

  • Small red spots on the skin or under fingernails.
  • Blood in the urine (pee).
  • New or changed heart murmur (an extra heart sound).
  • Night sweats.
  • Pain in the belly area (spleen).

Specific Symptoms of Pericarditis

Pericarditis is swelling of the sac around the heart. This sac is called the pericardium. When it gets infected, the layers rub together. This causes sharp pain.

Watch for these specific signs:

  • Sharp chest pain behind the breastbone.
  • Pain that gets worse when taking a deep breath.
  • Pain that gets better when sitting up and leaning forward.
  • Dry cough.

How Heart Infections Spread

Heart infections are not usually spread from person to person like a cold. You cannot “catch” myocarditis just by hugging someone. Instead, the germs enter the body in other ways.

Viral Transmission: Viruses like the flu or Coxsackie virus spread through sneezes and coughs. Once the virus is in the body, it travels through the blood. In some children, the virus decides to attack the heart muscle.

Bacterial Transmission: Bacteria can enter the bloodstream through the mouth or skin. This is common for endocarditis. Germs can enter through:

  • Bleeding gums or poor dental hygiene.
  • Open sores or skin infections.
  • Medical procedures or IV lines.
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Rheumatic Fever Transmission

Rheumatic fever is a reaction to strep throat. It is not an infection of the heart itself, but an immune system attack. If strep throat is not treated with antibiotics, the body attacks its own tissues, including the heart valves.

Transmission path:

  1. Child gets strep throat (bacteria spreads via coughs).
  2. Strep throat is left untreated.
  3. Weeks later, the immune system damages the heart.
  4. This is preventable with proper throat infection treatment.

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Risk Factors You Can Control

Parents can lower the risk of heart infections by focusing on modifiable factors.

Key steps include:

  • Good Hygiene: Frequent handwashing reduces virus spread.
  • Dental Care: Regular brushing and dentist visits prevent harmful bacteria from entering the bloodstream.
  • Vaccinations: Staying updated protects against viruses that can affect the heart.
  • Treating Infections: Completing antibiotics for strep throat helps prevent Rheumatic Fever.
  • Maternal Health: Avoiding infections during pregnancy reduces congenital heart defects later.

Risk Factors You Cannot Control

Some children are born with a higher chance of getting heart infections. These are “non-modifiable” factors. You cannot change genetics, but knowing them helps you stay alert.

These factors include:

  • Congenital Heart Defects: Children born with abnormal valves or holes in the heart are at higher risk for endocarditis.
  • Weak Immune Systems: Children with immune disorders fight off germs poorly.
  • Family History: A history of certain heart conditions can increase risk.
  • Age and Gender: Some conditions, like Kawasaki disease, are more common in boys under age 5.

Understanding Your Total Risk

Understanding overall risk helps guide proper care. Children with healthy hearts face a low risk, while those with congenital defects are at a higher risk. Pediatric risk assessment combines non-modifiable factors like heart defects with modifiable ones such as dental hygiene. This balance keeps children safer, and doctors use the full risk profile to decide whether antibiotics are needed before dental procedures.

Gender Differences in Heart Symptoms

Sometimes boys and girls show different signs. In pediatric heart infections, the differences are small but exist.

Boys: Boys are slightly more likely to get conditions like Myocarditis and Kawasaki disease. They may present with more “classic” chest pain symptoms.

Girls: Girls may show more subtle signs. They might complain of nausea, dizziness, or extreme fatigue rather than sharp chest pain. Parents should take these “quiet” symptoms seriously.

Preventing Transmission to the Heart

Prevention is the best medicine. Since we know how germs travel, we can stop them.

Simple prevention rules:

  • Keep cuts and scrapes clean.
  • Do not share toothbrushes or eating utensils.
  • Keep children away from people who are visibly sick.
  • Teach children to sneeze into their elbows.

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