{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:43Z","timestamp":1756425763505,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,10]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>\n                  <jats:italic>Streptococcus pneumoniae<\/jats:italic> is a rare cause of infectious endocarditis. Most cases have an acute and aggressive evolution, with a high mortality rate. We report the case of a 36-year-old man, with a history of unrepaired ventricular septal defect, who came to the emergency department with fever, cough and asthenia with 3 months of evolution. Blood cultures were positive for <jats:italic>Streptococcus pneumoniae<\/jats:italic>. Echocardiogram showed large vegetation on septum, free wall and outflow tract of the right ventricle. Thoracic CT revealed septic pulmonary embolism. Antimicrobial therapy and surgical treatment was performed and the patient presented a favourable evolution.<\/jats:p>","DOI":"10.1136\/bcr-2020-240586","type":"journal-article","created":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T10:36:27Z","timestamp":1623407787000},"page":"e240586","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Extensive right-sided infectious endocarditis due to <i>Streptococcus pneumoniae<\/i>"],"prefix":"10.1136","volume":"14","author":[{"given":"Patr\u00edcia","family":"Rocha","sequence":"first","affiliation":[{"name":"Internal Medicine, Centro Hospitalar do M\u00e9dio Ave EPE, Vila Nova de Famalic\u00e3o, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Fernandes","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Internal Medicine, Centro Hospitalar do M\u00e9dio Ave EPE, Vila Nova de Famalic\u00e3o, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2782-999X","authenticated-orcid":false,"given":"Ana","family":"Lima Silva","sequence":"additional","affiliation":[{"name":"Internal Medicine, Centro Hospitalar do M\u00e9dio Ave EPE, Vila Nova de Famalic\u00e3o, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Louren\u00e7o","family":"Gomes","sequence":"additional","affiliation":[{"name":"Cardiology, Centro Hospitalar do M\u00e9dio Ave EPE, Vila Nova de Famalic\u00e3o, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,11]]},"reference":[{"key":"2025082800084498000_14.6.e240586.1","first-page":"1","article-title":"Diagnosis and management of infective endocarditis in patient with ventricular septal defect: a report of clinical case from Dakar, Senegal","volume":"2","author":"Leye","year":"2017","journal-title":"American Journal of 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