{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:00:17Z","timestamp":1756461617372,"version":"3.44.0"},"reference-count":35,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,7,28]]},"abstract":"<jats:p>\n                  <jats:italic>Mycobacterium abscessus<\/jats:italic> and <jats:italic>Kocuria<\/jats:italic> species are rare causes of infections in humans. Endocarditis by these agents has been reported in only 11 cases. <jats:italic>M. abscessus<\/jats:italic> is a particularly resistant organism and treatment requires the association of antibiotics for a prolonged period of time. We report a case of native mitral valve bacterial endocarditis due to <jats:italic>M. abscessus<\/jats:italic> and <jats:italic>Kocuria<\/jats:italic> species in a 48-year-old man with a history of intravenous drug use. The case was complicated by a perforation of the posterior mitral valve leaflet, leading to surgical mitral valve replacement. Cultures from the blood and mitral valve disclosed <jats:italic>M. abscessus<\/jats:italic> and <jats:italic>Kocuria<\/jats:italic> species. The patient was treated for 6\u2005months with clarithromycin, imipenem and amikacin, with resolution of symptoms. Repeated blood cultures were negative. Acid-fast staining should be done in subacute endocarditis in order to identify rapidly growing mycobacteria.<\/jats:p>","DOI":"10.1136\/bcr-2013-202610","type":"journal-article","created":{"date-parts":[[2014,9,30]],"date-time":"2014-09-30T05:54:45Z","timestamp":1412056485000},"page":"bcr2013202610","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["A rare native mitral valve endocarditis successfully treated after surgical correction"],"prefix":"10.1136","volume":"2014","author":[{"given":"Daniel C","family":"Garcia","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Miami\/Jackson Memorial Hospital, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhanderson","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Miami\/Jackson Memorial Hospital, Miami, Florida, 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