Question Title: Pulominc Valvular Stenosis

Dear Jean, thank you for your question. Only bacteria that enter the bloodstream cause endocarditis. Strep throat should not put your son at risk for endocarditis. There are forms of strep bacteria that live in the mouth that can cause endocarditis when dental procedures are done without antibiotic prophylaxis. Thus, your son should receive appropriate antibiotics before dental procedures and other invasive (intravascular) procedures. Otherwise, he should be treated in the same fashion as other children for oropharyngeal infections.

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