{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T19:01:34Z","timestamp":1780599694664,"version":"3.54.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:00:00Z","timestamp":1780099200000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Infective endocarditis during pregnancy is rare but associated with significant maternal and foetal morbidity, particularly in the setting of Enterococcus faecalis bacteraemia from genitourinary sources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 28-year-old woman at 32 weeks\u2019 gestation with bilateral nephrolithiasis and indwelling nephrostomy tubes presented with sepsis. Blood cultures grew E. faecalis. Transoesophageal echocardiography revealed a mobile aortic valve vegetation with progressive severe aortic regurgitation. A multidisciplinary team coordinated staged management, including antimicrobial therapy, genitourinary source control, planned delivery, and postpartum mechanical aortic valve replacement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case highlights the strong association between E. faecalis bacteraemia and infective endocarditis, the importance of early echocardiography, and the need for individualized, multidisciplinary decision-making in pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag387","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T11:43:32Z","timestamp":1779882212000},"source":"Crossref","is-referenced-by-count":0,"title":["Pregnancy-associated\n                    <i>Enterococcus faecalis<\/i>\n                    aortic valve endocarditis secondary to obstructive uropathy: a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6769-8130","authenticated-orcid":false,"given":"Fenghan","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, ChristianaCare Health System , 4755 Ogletown-Stanton Road, Newark, DE 19718 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shazia","family":"Aziz","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, ChristianaCare Health System , 4755 Ogletown-Stanton Road, Newark, DE 19718 ,","place":["USA"]},{"name":"Department of Cardiology, ChristianaCare Health System , 4755 Ogletown-Stanton Road, Newark, DE 19718 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivarpit","family":"Dua","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, ChristianaCare Health System , 4755 Ogletown-Stanton Road, Newark, DE 19718 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