Reversible Cortical Blindness in Pediatric Native Valve Endocarditis.

Area of Science:

• Pediatric Cardiology
• Infectious Diseases
• Ophthalmology

Background:

• Native valve endocarditis is uncommon in pediatric populations.
• Septic embolization is a serious complication, potentially leading to devastating neurological deficits.
• Bilateral cortical blindness is a rare but severe manifestation.

Purpose of the Study:

• To report a case of native mitral valve endocarditis in a healthy child presenting with bilateral cortical blindness.
• To emphasize the importance of prompt diagnosis and multidisciplinary management.
• To highlight the role of early surgical intervention in achieving favorable outcomes.

Main Methods:

• Case report of a healthy child diagnosed with native mitral valve endocarditis.
• Description of clinical presentation, diagnostic workup, and treatment course.
• Review of medical and surgical management strategies.

Main Results:

• The patient presented with bilateral cortical blindness secondary to native mitral valve endocarditis.
• Following prompt medical management and urgent surgical intervention, the patient experienced complete visual recovery.
• No residual neurological deficits were observed post-treatment.

Conclusions:

• Native valve endocarditis, though rare in children, requires vigilant diagnosis and management.
• Early surgical intervention is crucial for optimizing outcomes in pediatric cases with severe embolic complications.
• Multidisciplinary care involving cardiology, infectious diseases, and surgery can lead to successful recovery.