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Warthin-Starry stain revealed spirochetes in valve tissue and molecular testing found DNA of Borrelia spp. We report the first Lyme endocarditis case supported by visualization of spirochetes in cardiac valve tissue.<\/jats:p>","DOI":"10.1093\/ofid\/ofaf623","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T12:04:11Z","timestamp":1759406651000},"source":"Crossref","is-referenced-by-count":1,"title":["Lyme Endocarditis: A Case Report"],"prefix":"10.1093","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0547-2384","authenticated-orcid":false,"given":"Mayyadah H","family":"Alabdely","sequence":"first","affiliation":[{"name":"Department of Infectious Disease, Cleveland Clinic Foundation , Cleveland, Ohio ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Bartley","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, Cleveland Clinic Foundation , Cleveland, 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