Abstract
Infective endocarditis is rare in children. It occurs mostly in children with an underlining heart defect. The clinical feature could be variable and most of the immunological features seen in adults are often absent in children. Rheumatic fever is a huge disease burden in developing countries and rheumatic valvular heart disease remains a risk factor for infective endocarditis. Therefore the case of a 12-year-old girl who hitherto had no complaint suggestive of underlining cardiac defect was diagnosed with infective endocarditis and subclinical rheumatic carditis which was confirmed by echocardiography; she responded to antibiotics and aspirin treatment and was discharged after 6-weeks on admission; she is being currently followed-up in the cardiac clinic.
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