Infective Endocarditis — RACP Paediatrics MCQ

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HardCardiologyInfective EndocarditisRACP Paediatrics

A 10-year-old child presents with a pansystolic murmur, fever, splinter haemorrhages, Janeway lesions, and microscopic haematuria. Blood cultures grow Streptococcus viridans. What is the diagnosis?

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Correct answer: C — Infective endocarditis

Infective endocarditis presents with fever, new/changing murmur, embolic phenomena (splinter haemorrhages, Janeway lesions, Osler nodes), and positive blood cultures. S. viridans is the most common cause in patients with underlying structural heart disease. Modified Duke criteria guide diagnosis.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Infective Endocarditis