{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:59:15Z","timestamp":1783468755012,"version":"3.55.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 42-year-old female patient of aplastic anaemia on maintenance blood transfusion presented with a 3-week history of fever, cough, dyspnoea and pedal oedema. Upon examination she \u00a0was found to have severe pallor, temperature of 101\u00b0F, tachycardia, bilateral pitting pedal oedema, raised jugular venous pressure, ejection systolic murmur (grade 2\/6) in pulmonary area and petechiae over extensor aspect of both lower limbs. Blood investigations revealed low haemoglobin, thrombocytopaenia and mild increase in serum creatine. Chest x-ray was normal. Initial 2D trans thoracic echocardiography performed after hospital admission was normal. Antibiotics were started empirically to treat a possible underlying infection. Subsequently, three sets of blood cultures grew <jats:italic>Enterococcus faecalis<\/jats:italic>. Upon searching for the source, repeat echocardiograph done showed 2\u00d70.5\u2005cm vegetation on both pulmonary leaflets with severe pulmonary regurgitation, all other valves were free of vegetations. She was treated with intravenous antibiotics for the endocarditis and improved.<\/jats:p>","DOI":"10.1136\/bcr-2013-008769","type":"journal-article","created":{"date-parts":[[2013,3,12]],"date-time":"2013-03-12T02:43:09Z","timestamp":1363056189000},"page":"bcr2013008769","source":"Crossref","is-referenced-by-count":2,"title":["Isolated pulmonary valve endocarditis in a patient with aplastic anaemia"],"prefix":"10.1136","volume":"2013","author":[{"given":"K R","family":"Nishanth","sequence":"first","affiliation":[{"name":"Department of General Medicine, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubha","family":"Seshadri","sequence":"additional","affiliation":[{"name":"Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay","family":"Pandit","sequence":"additional","affiliation":[{"name":"Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Krishnanand","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,3,11]]},"reference":[{"key":"2025082703283142000_2013.mar11_1.bcr2013008769.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2004.08.006"},{"key":"2025082703283142000_2013.mar11_1.bcr2013008769.2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(85)90563-0"},{"key":"2025082703283142000_2013.mar11_1.bcr2013008769.3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(72)90111-8"},{"key":"2025082703283142000_2013.mar11_1.bcr2013008769.4","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(86)90564-8"},{"key":"2025082703283142000_2013.mar11_1.bcr2013008769.5","doi-asserted-by":"publisher","DOI":"10.1097\/00019048-200105000-00004"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008769","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:28:39Z","timestamp":1756290519000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008769"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,11]]},"references-count":5,"alternative-id":["10.1136\/bcr-2013-008769"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008769","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,11]]}}}