Marantic endocarditis in children and young adults: Clinical and pathological findings

Abstract

The Clinical and pathologic findings of 7 children and young adults with marantic endocarditis are renewed. Cerebral embolic infarction attributable to the marantic regetations occurred in 3 patients. The most common neurologic findings were altered mental status, seizures, and hemlplegia. Five of the 7 patients had had cardiac catneterization. Sepsis, pneumonia, hypoxia, disorders of coagulation, and renal failure were frequently present in these seriously ill patients. In each instance, the diagnosis of marantic endocarditis was unsuspected and established only at autopsy. © 1981 American Heart Association, Inc.