{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T08:27:33Z","timestamp":1663316853743},"reference-count":5,"publisher":"ALUNA","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiad Lek"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>In patients with congenital heart disease (CHD), presence of intracardiac shunt can be a substrate for infective endocarditis (IE). Our aim was to highlight that this diagnosis should always be suspected when CHD patients present with persistent fever. \nIn this case report, we describe the case of a 33-year-old female patient with a history of perimembranous ventricular septal defect (VSD) who presented to the hospital with persistent fever. Six months ago, the patient had undergone a tooth extraction under antibiotic prophylaxis. The transthoracic echocardiogram revealed a mobile mass, consistent with vegetation in the tricuspid valve. The blood cultures grew Streptococcus mitis. Antimicrobial treatment was initiated for IE. Symptoms and inflammation markers improved, but the patient relapsed in the 4th week of treatment. Transesophageal echocardiogram revealed a new mobile vegetation attached to the right ventricular outflow tract and the patient was referred for surgery. Her postoperative course was uneventful.<\/jats:p>","DOI":"10.36740\/wlek202207132","type":"journal-article","created":{"date-parts":[[2022,8,13]],"date-time":"2022-08-13T13:13:37Z","timestamp":1660396417000},"page":"1789-1791","source":"Crossref","is-referenced-by-count":1,"title":["PERSISTENT FEVER IN A PATIENT WITH CONGENITAL HEART DISEASE AND A HIGH-VELOCITY SHUNT: A CASE REPORT"],"prefix":"10.36740","volume":"75","author":[{"given":"Dimitrios V.","family":"Moysidis","sequence":"first","affiliation":[{"name":"ARISTOTLE UNIVERSITY OF THESSALONIKI, THESSALONIKI, GREECE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasios","family":"Kartas","sequence":"additional","affiliation":[{"name":"ARISTOTLE UNIVERSITY OF THESSALONIKI, THESSALONIKI, GREECE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efstratios","family":"Karagiannidis","sequence":"additional","affiliation":[{"name":"ARISTOTLE UNIVERSITY OF THESSALONIKI, THESSALONIKI, GREECE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas S.","family":"Papazoglou","sequence":"additional","affiliation":[{"name":"ARISTOTLE UNIVERSITY OF THESSALONIKI, THESSALONIKI, GREECE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christos","family":"Tsagkaris","sequence":"additional","affiliation":[{"name":"UNIVERSITY OF CRETE, HERAKION, GREECE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. Hubers S.A., DeSimone D.C., Gersh B.J. et al. Infective Endocarditis: A Contemporary Review. Mayo Clin Proc. 2020; 95: 982\u2013997.","DOI":"10.1016\/j.mayocp.2019.12.008"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Habib G., Lancellotti P., Antunes M.J. et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European. Eur Heart J. 2015; 36: 3075\u20133128.","DOI":"10.3410\/f.725758086.793510592"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3. Berglund E., Johansson B., Dellborg M. et al. High incidence of infective endocarditis in adults with congenital ventricular septal defect. Heart. 2016; 102: 1835\u20131839.","DOI":"10.1136\/heartjnl-2015-309133"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4. Gaca J.G., Sheng S., Daneshmand M.A. et al. Outcomes for endocarditis surgery in North America: A simplified risk scoring system. J Thorac Cardiovasc Surg. 2011; 141: 98-106.e2.","DOI":"10.1016\/j.jtcvs.2010.09.016"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"5. Kuijpers J.M., Koolbergen D.R., Groenink M. et al. Incidence, risk factors, and predictors of infective endocarditis in adult congenital heart disease: focus on the use of prosthetic material. Eur Heart J. 2017; 38: 2048\u20132056.","DOI":"10.1093\/eurheartj\/ehw591"}],"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"language":"en","deposited":{"date-parts":[[2022,8,13]],"date-time":"2022-08-13T13:13:42Z","timestamp":1660396422000},"score":1,"resource":{"primary":{"URL":"https:\/\/wiadlek.pl\/wp-content\/uploads\/archive\/2022\/06\/WLek202207132.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":5,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022]]},"published-print":{"date-parts":[[2022,7]]}},"URL":"https:\/\/doi.org\/10.36740\/wlek202207132","archive":["Internet Archive"],"relation":{},"ISSN":["0043-5147"],"issn-type":[{"value":"0043-5147","type":"print"}],"subject":[],"published":{"date-parts":[[2022]]}}}