Infective Endocarditis Caused by Staphylococcus aureus in a 6-Year-Old Girl with No History of Heart and Dental Problems: A Case Report

Infective endocarditis is rare in children but can cause significant morbidity and mortality. streptococcus and staphylococcus species are the leading causes of this disease. staphylococcus is more common in people with underlying heart disease, and streptococcus viridans is more common in people who have had a dental procedure. in general, any fever of unknown origin in children with an underlying heart problem should be carefully evaluated for endocarditis, and empiric therapy should be performed. the main symptoms of the disease include fever, new murmur, deterioration of the previous murmur, hematuria, embolic events, splenomegaly, bleeding splinter, osler's nodes, janeway lesion, and roth spots. one of the important complications of infective endocarditis is cerebrovascular event and stroke. herein, we describe a 6-year-old girl presented with fever and skin lesions and no history of underlying heart problem or dental procedure. the patient expired after three days of mitral valve infection with s. aureus.