Bacterial Endocarditis in the Postoperative Period in a Pediatric Heart Transplant Recipient.

Coppola, John-Anthony; Gupta, Dipankar; Rackley, Jennifer; Bleiweis, Mark S; Shih, Renata L · Pediatrics · 2025

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Abstract

We present a case of infectious endocarditis in the immediate post-transplant period in a 7-year-old child. On postoperative day 6, an elevation in inflammatory markers was detected, and the echocardiogram revealed a pedunculated mass on the mitral valve. The patient underwent surgical resection on postoperative day 14, followed by a 6-week course of antibiotics. The patient demonstrated complete resolution of endocarditis and, at 5-year follow-up, has excellent allograft function without recurrence of endocarditis.

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