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Transoesophageal echocardiogram showed flail posterior mitral leaflet with severe mitral regurgitation and two vegetations (2.5\u00d71\u2009cm and 1.6\u00d70.3\u2009cm). Abdominal CT showed new focal splenic infarcts, and a brain MRI revealed subacute infarcts, consistent with the embolic phenomenon. Blood cultures grew <jats:italic>Granulicatella elegans<\/jats:italic>. The patient underwent mitral valve replacement surgery followed by 6\u2009weeks of parenteral therapy with vancomycin and gentamicin, with full recovery at a 3-month follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2019-229294","type":"journal-article","created":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T07:37:28Z","timestamp":1567064248000},"page":"e229294","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Infective endocarditis due to <i>Granulicatella elegans<\/i> presenting with musculoskeletal symptoms"],"prefix":"10.1136","volume":"12","author":[{"given":"Saira","family":"Farid","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, Mayo Clinic Minnesota, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zerelda","family":"Esquer Garrigos","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Mayo Clinic Minnesota, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6499-5543","authenticated-orcid":false,"given":"M Rizwan","family":"Sohail","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Mayo Clinic Minnesota, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,8,28]]},"reference":[{"issue":"Pt 1","key":"2025082800310384000_12.8.e229294.1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1099\/00207713-50-1-365","article-title":"The genus Abiotrophia (Kawamura et al.) is not monophyletic: proposal of Granulicatella gen. nov., Granulicatella adiacens comb. nov., Granulicatella elegans comb. nov. and Granulicatella balaenopterae comb. nov","volume":"50 Pt 1","author":"Collins","year":"2000","journal-title":"Int J Syst Evol Microbiol"},{"key":"2025082800310384000_12.8.e229294.2","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":"2025082800310384000_12.8.e229294.3","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/9.5.908"},{"key":"2025082800310384000_12.8.e229294.4","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.40.5.1845-1847.2002"},{"key":"2025082800310384000_12.8.e229294.5","doi-asserted-by":"publisher","DOI":"10.1038\/191728a0"},{"key":"2025082800310384000_12.8.e229294.6","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.4.2.184"},{"key":"2025082800310384000_12.8.e229294.7","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.43.3.1405-1407.2005"},{"key":"2025082800310384000_12.8.e229294.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2014.10.023"},{"key":"2025082800310384000_12.8.e229294.9","doi-asserted-by":"crossref","first-page":"2844","DOI":"10.1128\/JCM.36.10.2844-2846.1998","article-title":"PCR for detection and identification of Abiotrophia spp","volume":"36","author":"Roggenkamp","year":"1998","journal-title":"J Clin Microbiol"},{"key":"2025082800310384000_12.8.e229294.10","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.39.10.3520-3523.2001"},{"key":"2025082800310384000_12.8.e229294.11","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1111\/j.1348-0421.2000.tb02593.x","article-title":"Serological properties of Abiotrophia and Granulicatella species (nutritionally variant streptococci)","volume":"44","author":"Kitada","year":"2000","journal-title":"Microbiol Immunol"},{"key":"2025082800310384000_12.8.e229294.12","doi-asserted-by":"crossref","unstructured":"Patri S , Agrawal Y . 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