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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 …
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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