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Littrell was born with a heart defect that brought him several times into hospital with life-threatening conditions – for two months alone when he was five years of age because of a bacterial infection.
An open heart surgery in 1998 closed the hole he had in his heart, as he said on his Hour of Power interview in 2007.
In the beginning, there was no success in the United States, even though the first single had been a hit on Orlando radio stations.
The band manager Lou Pearlman marketed the Backstreet Boys in Europe, where they became commercially successful in 1995.
They became hugely popular in Europe, Latin America and the United States in the late 1990s and the early 2000s.
During this time they released four albums, Backstreet Boys, Backstreet's Back, Millennium and Black & Blue followed by a greatest hits album, The Hits: Chapter One.
Music was always important to him, and he originally planned on entering school to become a music minister.
In the next few years he would win three more Doves for collaboration projects; in 2008, Special Event Album of the Year for Glory Revealed (various artists) and the Inspirational Recorded Song of the Year for "By His Wounds", from that album; and in 2010, Special Event Album of the Year for Glory Revealed II.
Littrell was also a judge for the 8th annual Independent Music Awards to support independent artists' careers.
Littrell was born in Lexington, Kentucky, United States.
In 2002, Littrell voiced himself on an episode of Arthur.
In 2013, Littrell made an appearance in the comedy This Is the End, along with the rest of the Backstreet Boys.