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A multidisciplinary discussion was held, and the patient was deemed high-risk for a third re-do open heart surgery. He was treated medically with anti-fungal treatment with good clinical recovery.<\/jats:p>","DOI":"10.1136\/bcr-2021-244914","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T11:30:58Z","timestamp":1644406258000},"page":"e244914","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Histoplasma capsulatum<\/i> culture-negative prosthetic valve endocarditis presenting as a cystic mass"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3458-6412","authenticated-orcid":false,"given":"Jung-In","family":"Choi","sequence":"first","affiliation":[{"name":"Internal Medicine, The University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice S","family":"Chang","sequence":"additional","affiliation":[{"name":"Cardiology, The University of British Columbia, Vancouver, British Columbia, 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