{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T07:03:33Z","timestamp":1763017413601,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,5,8]]},"abstract":"<jats:p>A 66-year-old woman with a history of tissue aortic valve replacement and chronic back pain presented to the emergency department with a suspected right leg deep vein thrombosis. A recent outpatient MRI had revealed discitis. A ventricular fibrillation cardiac arrest occurred in the emergency department. Cardiac output was restored on the fifth defibrillation. A transthoracic echocardiogram showed large aortic valve vegetations. Clinical impression was of infective endocarditis with cardiac arrest secondary to coronary artery embolisation. Peripheral blood cultures grew <jats:italic>Cardiobacterium hominis<\/jats:italic>, and appropriate intravenous antibiotic therapy was administered. The infected prosthetic valve was excised. The patient experienced postoperative complete heart block and a right hemisphere cerebrovascular accident, however she is now recovering well. This case describes an unusual case of infective endocarditis secondary to <jats:italic>C. hominis<\/jats:italic>, with disc, leg, coronary artery and brain septic embolisation. Infective endocarditis is an important differential diagnosis in multisystem presentations.<\/jats:p>","DOI":"10.1136\/bcr-2013-202215","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T06:32:29Z","timestamp":1400826749000},"page":"bcr2013202215","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Back pain, leg swelling and a cardiac arrest: an interesting case of endocarditis"],"prefix":"10.1136","volume":"2014","author":[{"given":"Joseph","family":"Donovan","sequence":"first","affiliation":[{"name":"Hammersmith Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Hatcher","sequence":"additional","affiliation":[{"name":"Hammersmith Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Riddell","sequence":"additional","affiliation":[{"name":"Hammersmith Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Tiberi","sequence":"additional","affiliation":[{"name":"Hammersmith Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,5,23]]},"reference":[{"doi-asserted-by":"crossref","unstructured":"Chambers ST Murdoch D Morris A . HACEK infective endocarditis: characteristics and outcomes from a large multi-national cohort. PLoS ONE 2013;8:e63181.","key":"2025082701571905000_2014.may23_1.bcr2013202215.1","DOI":"10.1371\/journal.pone.0063181"},{"unstructured":"Resuscitation Council (UK). Advanced Life Support guidelines. May 2013. http:\/\/www.resus.org.uk","key":"2025082701571905000_2014.may23_1.bcr2013202215.2"},{"doi-asserted-by":"publisher","key":"2025082701571905000_2014.may23_1.bcr2013202215.3","DOI":"10.1093\/jac\/dkr450"},{"doi-asserted-by":"publisher","key":"2025082701571905000_2014.may23_1.bcr2013202215.4","DOI":"10.1001\/archinternmed.2008.603"},{"doi-asserted-by":"publisher","key":"2025082701571905000_2014.may23_1.bcr2013202215.5","DOI":"10.1016\/0002-9343(90)90521-E"},{"doi-asserted-by":"publisher","key":"2025082701571905000_2014.may23_1.bcr2013202215.6","DOI":"10.1086\/517157"},{"doi-asserted-by":"publisher","key":"2025082701571905000_2014.may23_1.bcr2013202215.7","DOI":"10.1007\/s10096-006-0189-9"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-202215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:57:28Z","timestamp":1756285048000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-202215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,23]]},"references-count":7,"alternative-id":["10.1136\/bcr-2013-202215"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-202215","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,5,23]]}}}