Una febbre che… soffia

The paper describes the case of a 7-year-old child with a ventricular septal defect and a story of 10 weeks of non-periodic recurrent fever repeatedly treated with short course of antimicrobial therapy. All the echocardiographies were negative for valve vegetation, but all the cultural blood exams were positive for Streptococcus sanguinis. Infective endocarditis was diagnosed using the modified Duke’s criteria and treated with a long course of adequate antimicrobial parenteral therapy.