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Miscellanea
Images in paediatrics
Mycotic aneurysm presenting as hip pain and severe anaemia
  1. Mildred A Iro1,2,3,
  2. Christine E Jones1,2,3,
  3. Saul N Faust1,2,3,
  4. Iain D C Wilson4,
  5. Stephen J Baxter5,
  6. Mark Pemberton5,
  7. Trevor Richens6,
  8. Sanjay Valabh Patel2
  1. 1 Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK
  2. 2 Paediatric Immunology and Infectious diseases, Southampton University NHS Foundation Trust, Southampton, UK
  3. 3 NIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, Southampton University NHS Foundation Trust, Southampton, Southampton, UK
  4. 4 Radiology, Southampton University NHS Foundation Trust, Southampton, Southampton, UK
  5. 5 Cardiovascular and Thoracic Surgery, Southampton University NHS Foundation Trust, Southampton, Southampton, UK
  6. 6 Paediatric Cardiology, Southampton University NHS Foundation Trust, Southampton, Southampton, UK
  1. Correspondence to Dr Mildred A Iro, Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton SO17 1BJ, UK; m.a.iro{at}soton.ac.uk

https://doi.org/10.1136/archdischild-2021-321632

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    Case report

    A 15-year-old boy with trisomy 21, moderate left atrioventricular (AV) valve regurgitation and a previously repaired AV septal defect developed Aerococcus urinae infective endocarditis. The infected left AV valve and surrounding tissue were surgically removed and replaced with a prosthetic mitral valve; this was followed by 6 weeks of intravenous antibiotics. Towards the end of his antibiotic course, his C reactive protein level began to rise, and he subsequently developed worsening hip pain and severe anaemia (Hb …

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    Footnotes

    • Correction notice This article has been amended since it was published online. The first three authors' affiliations have been corrected.

    • Contributors MAI wrote the manuscript. All authors contributed to the patient’s care and edited the manuscript for important intellectual content.

    • Competing interests MAI is a NIHR Academic Clinical Lecturer and SNF a NIHR Senior Investigator.

    • Provenance and peer review Not commissioned; externally peer reviewed.