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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. 1Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK
  2. 2Paediatric Immunology and Infectious diseases, Southampton University NHS Foundation Trust, Southampton, UK
  3. 3NIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, Southampton University NHS Foundation Trust, Southampton, Southampton, UK
  4. 4Radiology, Southampton University NHS Foundation Trust, Southampton, Southampton, UK
  5. 5Cardiovascular and Thoracic Surgery, Southampton University NHS Foundation Trust, Southampton, Southampton, UK
  6. 6Paediatric 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

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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 …

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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.

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