Late Diagnosis of Noonan Syndrome Presenting With Infective Endocarditis: A Multidisciplinary Challenge in an Underserved Population

Nur Farhanah; Jessica Novia Hadiyanto; Sefri Noventi Sofia; Tania Tedjo Minuljo; Tri Indah Winarni

doi:10.12659/AJCR.952213

16 September 2026 : Case report Indonesia

Late Diagnosis of Noonan Syndrome Presenting With Infective Endocarditis: A Multidisciplinary Challenge in an Underserved Population

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease, Congenital defects / diseases, Educational Purpose (only if useful for a systematic review or synthesis)

Nur Farhanah

^{BDEF 1*}, Jessica Novia Hadiyanto

^{BEF 2}, Sefri Noventi Sofia

^{BD 3}, Tania Tedjo Minuljo^{BD 4}, Tri Indah Winarni

^{DF 5}

DOI: 10.12659/AJCR.952213

Am J Case Rep 2026; 27:e952213

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Introduction Case Report Discussion Conclusions References

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Figure 1 Patient’s clinical manifestation showing the characteristic features of Noonan syndrome. The images depict characteristic features including hypertelorism, down-slanting palpebral fissures (A), low-set ears (B), webbed neck (C), low posterior hairline (D), scoliosis (E), and a shield-shaped chest with widely spaced nipples (F).

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Late Diagnosis of Noonan Syndrome Presenting With Infective Endocarditis: A Multidisciplinary Challenge in an Underserved Population

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