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Due to unexplained creatinine rise, a renal biopsy was obtained which was suspicious for infection-related glomerulonephritis (IRGN). Further workup confirmed subacute endocarditis according to modified Duke\u2019s criteria. The patient\u2019s blood culture became positive for Granulicatella adiacens, a nutritionally variant streptococcus. The patient later developed acute respiratory failure from diffuse alveolar hemorrhage (DAH). Subacute infective endocarditis can result in serious morbidity and mortality due to its insidious symptoms and subsequent fatal complications.<\/jats:p>","DOI":"10.1155\/2022\/5565906","type":"journal-article","created":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T18:05:06Z","timestamp":1646676306000},"page":"1-5","source":"Crossref","is-referenced-by-count":4,"title":["Granulicatella adiacens Subacute Bacterial Endocarditis Presenting as Diffuse Alveolar Hemorrhage and Infection-Related Glomerulonephritis"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4667-525X","authenticated-orcid":true,"given":"Kevin","family":"Dao","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Mercer University School of Medicine\u2014Grand Strand Medical Center, Myrtle Beach, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9931-5007","authenticated-orcid":true,"given":"Pooja","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mercer University School of Medicine\u2014Grand Strand Medical Center, Myrtle Beach, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0698-0145","authenticated-orcid":true,"given":"Kunjan","family":"Udani","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mercer University School of Medicine\u2014Grand Strand Medical Center, Myrtle Beach, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0181-5423","authenticated-orcid":true,"given":"Erin","family":"Pollock","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mercer University School of Medicine\u2014Grand Strand Medical Center, Myrtle Beach, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Gondal","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Mercer University School of Medicine\u2014Grand Strand Medical Center, Myrtle Beach, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","article-title":"Bacterial endocarditis","author":"V. 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