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Following this, a transesophageal echocardiogram showed severe mitral regurgitation and a vegetation &gt;1\u2005cm involving the mitral valve with associated destruction of posterior valve leaflets. The patient was started on antibiotics intravenous penicillin G and intravenous gentamicin for a total duration of 6\u2005weeks. He underwent mitral valve replacement on day 4 of hospitalisation. The postoperative course was complicated by ventilator-dependent respiratory failure, requiring tracheostomy and eventual transfer to a skilled nursing facility. Unfortunately, he died after 2\u2005weeks of stay at the facility.<\/jats:p>","DOI":"10.1136\/bcr-2016-215421","type":"journal-article","created":{"date-parts":[[2016,7,20]],"date-time":"2016-07-20T10:53:26Z","timestamp":1469012006000},"page":"bcr2016215421","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["<i>Aerococcus urinae<\/i>, a rare cause of infective endocarditis"],"prefix":"10.1136","volume":"2016","author":[{"given":"Stephen","family":"Melnick","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Reading Hospital and Medical Center, Reading, Pennsylvania, USA"},{"name":"Lebanon, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salik","family":"Nazir","sequence":"additional","affiliation":[{"name":"Reading Hospital and Medical Center, Reading, Pennsylvania, 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