{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T21:52:51Z","timestamp":1790977971295,"version":"4.1.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Infective endocarditis (IE) is a significant cause of morbidity and mortality in India, particularly in children with underlying congenital heart disease (CHD). While the global incidence of pediatric IE remains low, developing countries like India face a higher burden due to delayed diagnosis, inadequate access to specialized cardiac care, and high prevalence of rheumatic and CHD. A 14-year-old boy with no prior heart disease presented with fever, cough, and chest pain. Echocardiography showed large aortic vegetation, severe regurgitation, and root abscess. Blood culture grew\n                    <jats:italic toggle=\"yes\">Streptococcus gallolyticus<\/jats:italic>\n                    . Despite antibiotics, he required urgent COMMANDO surgery with aortic valve replacement and mitral valve replacement, underscoring fulminant pediatric IE. Initially postoperatively, the patient stabilized but subsequently developed refractory ventricular tachycardia and could not be revived. This case highlights the aggressive nature of pediatric IE, the potential for rapid progression, and the importance of early diagnosis, appropriate antimicrobial therapy, and timely appropriate surgical intervention. This case shows extensive involvement of multidisciplinary action for pediatric IE with extensive cardiac involvement. Successful management clues on early diagnosis, pathogen violence causing infection, disease growth progression, appropriate antibiotics, and timely surgical intervention.\n                  <\/jats:p>","DOI":"10.4103\/aam.aam_779_25","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:00:56Z","timestamp":1778853656000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Commando Surgery in Infective Endocarditis by Streptococcus gallolyticus in an Adolescent: A Rare Case Report"],"prefix":"10.4103","author":[{"given":"Saroj","family":"Soumya","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Dr. D. Y. Patil Medical College Hospital and Research Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devika","family":"Chavan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Dr. D. Y. Patil Medical College Hospital and Research Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balkrushna Pandit","family":"Garud","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Dr. D. Y. Patil Medical College Hospital and Research Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailaja","family":"Mane","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Dr. D. Y. Patil Medical College Hospital and Research Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anurag","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Thoracic Surgery, Dr. D. Y. Patil Medical College Hospital and Research Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antara","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Dr. D. Y. Patil Medical College Hospital and Research Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konark","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Thoracic Surgery, Dr. D. Y. Patil Medical College Hospital and Research Institute, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"R1-20260916","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1161\/CIR.0000000000000298","article-title":"Infective endocarditis in childhood: 2015 update: A scientific statement from the American Heart Association","volume":"132","author":"Baltimore","year":"2015","journal-title":"Circulation"},{"key":"R2-20260916","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1086\/313753","article-title":"Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis","volume":"30","author":"Li","year":"2000","journal-title":"Clin Infect Dis"},{"key":"R3-20260916","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1007\/s00246-010-9709-6","article-title":"The changing epidemiology of pediatric endocarditis at a children's hospital over seven decades","volume":"31","author":"Rosenthal","year":"2010","journal-title":"Pediatr Cardiol"},{"key":"R4-20260916","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/j.mayocp.2012.02.023","article-title":"Infective endocarditis in the pediatric patient: A 60-year single-institution review","volume":"87","author":"Johnson","year":"2012","journal-title":"Mayo Clin Proc"},{"key":"R5-20260916","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1542\/pir.35.4.162","article-title":"Endocarditis","volume":"35","author":"Bragg","year":"2014","journal-title":"Pediatr Rev"},{"key":"R6-20260916","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1161\/CIRCULATIONAHA.108.798751","article-title":"Characteristics of children hospitalized with infective endocarditis","volume":"119","author":"Day","year":"2009","journal-title":"Circulation"},{"key":"R7-20260916","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1093\/clind\/24.4.669","article-title":"Infective endocarditis: 35 years of experience at a children's hospital","volume":"24","author":"Martin","year":"1997","journal-title":"Clin Infect Dis"},{"key":"R8-20260916","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1016\/S0140-6736(15)00067-7","article-title":"Infective endocarditis","volume":"387","author":"Cahill","year":"2016","journal-title":"Lancet"},{"key":"R9-20260916","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jaccas.2021.10.002","article-title":"Staphylococcus aureus infective endocarditis: JACC patient pathways","volume":"4","author":"Grapsa","year":"2022","journal-title":"JACC Case Rep"},{"key":"R10-20260916","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.4081\/cp.2018.1070","article-title":"A case report of infective endocarditis in a 10-year-old girl","volume":"8","author":"Salloum","year":"2018","journal-title":"Clin Pract"},{"key":"R11-20260916","first-page":"e35997","article-title":"A case series and literature review of subacute infective endocarditis: A clinical challenge","volume":"15","author":"Callegari","year":"2023","journal-title":"Cureus"},{"key":"R12-20260916","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1016\/j.amjcard.2018.04.039","article-title":"Echocardiography in patients with infective endocarditis and the impact of diagnostic delays on clinical outcomes","volume":"122","author":"Young","year":"2018","journal-title":"Am J Cardiol"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_779_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T21:00:26Z","timestamp":1790974826000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_779_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,14]]},"references-count":12,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_779_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,14]]},"assertion":[{"value":"2025-12-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}