Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2021; 9(35): 11016-11023
Published online Dec 16, 2021. doi: 10.12998/wjcc.v9.i35.11016
Early surgical intervention in culture-negative endocarditis of the aortic valve complicated by abscess in an infant: A case report
Yan-Feng Yang, Fei-Fei Si, Ting-Ting Chen, Ling-Xia Fan, Ya-Heng Lu, Mei Jin
Yan-Feng Yang, Fei-Fei Si, Ting-Ting Chen, Ling-Xia Fan, Ya-Heng Lu, Mei Jin, Department of Pediatric Cardiology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610000, Sichuan Province, China
Author contributions: Yang YF and Si FF designed the research; Jin M, Fan LX, Lu YH, and Chen TT performed the echocardiography; Yang YF and Si FF wrote and edited the paper; all authors approved the final version of this manuscript.
Informed consent statement: This case study was approved by the ethics committee of the Chengdu Women and Children’s Hospital, Sichuan, China. Written informed consent for publication of clinical details and images was obtained from the patient’s parents.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Feng Yang, MD, Doctor, Department of Pediatric Cardiology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 1617 Riyue Ave, Qingyang district, Chengdu 610000, Sichuan Province, China. ymm810301@163.com
Received: May 17, 2021
Peer-review started: May 17, 2021
First decision: June 15, 2021
Revised: June 25, 2021
Accepted: October 25, 2021
Article in press: October 25, 2021
Published online: December 16, 2021
Processing time: 206 Days and 16.9 Hours
Core Tip

Core Tip: We report an atypical case in a 9-mo-old infant without congenital heart disease. Laboratory tests and electrocardiograms suggested a diagnosis of infective endocarditis (IE). After being treated with antibiotic drugs, the patient got a short recovery. Continuous echocardiographic examinations since admission revealed aortic valve abscess with perforation, regurgitation, vegetation, and effusion. Aortic valve repair was performed by using autologous pericardial patch plasty. No postoperative complications occurred and the patient was healthily discharged after 4 wk of treatment. Our case demonstrated the necessity of serial echocardiography monitoring in pediatric patients for possible adverse symptoms of IE.