Article Details

Patent ductus arteriosus (PDA) is a common congenital heart defect. Its association with infective endarteritis (IE) is rare but potentially life-threatening. We report the case of a 2-year-old infant presenting with persistent fever and respiratory distress, which led to the discovery of large masses in the pulmonary artery suggestive of vegetations, complicated by septic pulmonary embolism. Echocardiography remains the cornerstone for diagnosing both PDA and IE. It also plays a critical role in identifying local complications such as aneurysms, fistulas, and abscesses, as well as assessing the impact of PDA on right and left ventricular function. Management involves guideline-directed antibiotic therapy, typically followed by surgical intervention for both PDA and IE when indicated. A multidisciplinary approach, involving pediatricians and general practitioners, is essential to improve early recognition of congenital heart disease and to implement preventive strategies against infective endarteritis in at-risk populations.

Keywords: Infective endocarditis; Patent ductus arteriosus; Infective endarteritis