{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T13:10:12Z","timestamp":1756386612121,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,6,6]]},"abstract":"<jats:p>A 76-year-old man presented with a 3-week history of intermittent fevers and dyspnoea on exertion after a dental bridge placement 2\u2005months ago. The patient's medical history was significant for mild to moderate mitral valve prolapse. Initial evaluation was notable for a 3\/6 systolic apical murmur. Laboratory investigations revealed leucocytosis and elevated erythrocyte sedimentation rate, C reactive protein and cardiac biomarkers. Patient was treated initially for non-ST elevation myocardial infarction. A 2-dimensional echocardiography was concerning for a new mitral regurgitation and a questionable vegetation adjacent to the mitral valve annulus. Transoesophageal echocardiography study confirmed the diagnosis. Subsequent microbial identification was notable for <jats:italic>Peptostreptococci<\/jats:italic> and he was started on intravenous penicillin therapy. The unexplained illness with underlying valve disease prompted consideration of infective endocarditis. This case describes a rare occurrence of anaerobic endocarditis imitating an acute coronary event.<\/jats:p>","DOI":"10.1136\/bcr-2014-204791","type":"journal-article","created":{"date-parts":[[2014,6,18]],"date-time":"2014-06-18T09:48:00Z","timestamp":1403084880000},"page":"bcr2014204791","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Are we missing anaerobic infective endocarditis in some acute coronary syndromes?"],"prefix":"10.1136","volume":"2014","author":[{"given":"Ahmed","family":"Abuzaid","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Creighton University Medical Center, Omaha, Nebraska, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiman","family":"Smer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Creighton University Medical Center, Omaha, Nebraska, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halis Kaan","family":"Akturk","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Creighton University Medical Center, Omaha, Nebraska, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marvin","family":"Bittner","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, Creighton University Medical Center, Omaha, Nebraska, USA"},{"name":"Department of Infectious Disease, Veterans Affair Hospital, Omaha, Nebraska, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,6,18]]},"reference":[{"key":"2025082805334688000_2014.jun18_1.bcr2014204791.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2008.08.008"},{"key":"2025082805334688000_2014.jun18_1.bcr2014204791.2","doi-asserted-by":"publisher","DOI":"10.1159\/000064684"},{"key":"2025082805334688000_2014.jun18_1.bcr2014204791.3","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-013-0346-0"},{"key":"2025082805334688000_2014.jun18_1.bcr2014204791.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2005.00741.x"},{"key":"2025082805334688000_2014.jun18_1.bcr2014204791.5","first-page":"299","article-title":"A microbiologic study on anaerobic bacteremia after dental extraction","volume":"28","author":"Lee","year":"1990","journal-title":"Taehan Chikkwa Uisa Hyophoe Chi"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204791","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:33:55Z","timestamp":1756384435000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204791"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,18]]},"references-count":5,"alternative-id":["10.1136\/bcr-2014-204791"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204791","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,6,18]]}}}