Objective To report the case of a child with infective endocarditis caused by Neisseria meningiditis.

Description A 21 month old was transferred to our intensive care unit from our accident and emergency department with a provisional diagnosis of bronchiolitis/pneumonia with increasing respiratory distress. On admission, the child was hemodynamically compromised, and needed mechanical ventilation. As the child was being stabilized, she deteriorated rapidly into pulseless electrical activity and could not be revived despite full cardiopulmonary resuscitation. Echocardiography performed during the process of resuscitation was inconclusive. As the diagnosis was uncertain, a full post mortem examination was performed. This revealed large vegetations of the aortic valve with destruction of cusps and abscess formation of the myocardium. Blood culture grew Neissera meningiditis isolate.