{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:09:08Z","timestamp":1762866548304,"version":"3.40.4"},"reference-count":24,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,11,28]]},"abstract":"<jats:p>A previously healthy 27-year-old Jamaican man presented to the University Hospital of the West Indies with recurrent joint pain, remitting and relapsing fever, and shortness of breath. He was subsequently found to have<jats:italic>Abiotrophia defectiva<\/jats:italic>endocarditis. This was the first time this organism had been isolated at our institution. Despite culture directed antibiotics, his clinical course was quite severe with mitral regurgitation and congestive cardiac failure requiring mitral valve replacement. He recovered well postoperatively and is currently being followed at our outpatient cardiology clinic. This report highlights the severe presentation and often poor outcome associated with<jats:italic>A. defectiva<\/jats:italic>endocarditis and stresses that the outcome may be improved by early and appropriate surgical intervention.<\/jats:p>","DOI":"10.1136\/bcr-2014-207361","type":"journal-article","created":{"date-parts":[[2014,12,17]],"date-time":"2014-12-17T10:53:20Z","timestamp":1418813600000},"page":"bcr2014207361","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Abiotrophia defectiva endocarditis"],"prefix":"10.1136","volume":"2014","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3964-0032","authenticated-orcid":false,"given":"Jodian Amor","family":"Pinkney","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajeev Peeyush","family":"Nagassar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen Judith","family":"Roye-Green","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor","family":"Ferguson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,12,17]]},"reference":[{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.1","doi-asserted-by":"publisher","DOI":"10.1099\/00207713-39-3-290"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-6-9"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.3","first-page":"67","article-title":"Endocarditis caused by nutritionally variant streptococci: a case report and literature review","volume":"20","author":"Giuliano","year":"2012","journal-title":"Infez Med"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.4","doi-asserted-by":"publisher","DOI":"10.4176\/061223"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.5","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/1.6.955"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.6","doi-asserted-by":"publisher","DOI":"10.1038\/191728a0"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.7","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1128\/CMR.4.2.184","article-title":"Nutritionally variant streptococci","volume":"4","author":"Ruoff","year":"1991","journal-title":"Clin Microbiol Rev"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.8","doi-asserted-by":"publisher","DOI":"10.1099\/00207713-45-4-798"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.9","doi-asserted-by":"publisher","DOI":"10.1099\/00207713-50-1-365"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.10","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.39.10.3520-3523.2001"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.11","first-page":"579","article-title":"A case report and literature overview: Abiotrophia defectiva aortic valve endocarditis in developing countries","volume":"42","author":"Ramos","year":"2014","journal-title":"Infection"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.12","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.43.1000"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.13","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/9.5.908"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.14","first-page":"53","article-title":"Infective endocarditis with Abiotrophia defectiva: the first Australian experience","volume":"10","author":"Van Assche","year":"2008","journal-title":"Crit Care Resusc"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.15","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.14.1.177-207.2001"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.16","doi-asserted-by":"publisher","DOI":"10.1016\/S0732-8893(00)00194-2"},{"key":"2025042707081557000_2014.dec17_1.bcr2014207361.17","doi-asserted-by":"crossref","unstructured":"Martin H . 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