{"id":"https://openalex.org/W7223179552","doi":"https://doi.org/10.1016/j.radcr.2026.09.077","title":"Infective endocarditis presenting as febrile stroke and complicated with multi-territorial systemic embolization in a young woman: A case report","display_name":"Infective endocarditis presenting as febrile stroke and complicated with multi-territorial systemic embolization in a young woman: A case report","publication_year":2026,"publication_date":"2026-10-22","ids":{"openalex":"https://openalex.org/W7223179552","doi":"https://doi.org/10.1016/j.radcr.2026.09.077","pmid":"https://pubmed.ncbi.nlm.nih.gov/42960255","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13718783"},"language":"en","primary_location":{"id":"doi:10.1016/j.radcr.2026.09.077","doi":"https://doi.org/10.1016/j.radcr.2026.09.077","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.radcr.2026.09.077","pdf_url":null,"source":{"id":"https://openalex.org/S190549722","display_name":"Radiology Case Reports","issn_l":"1930-0433","issn":["1930-0433"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.radcr.2026.09.077","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088828219","display_name":"Mourad Hmidouch","orcid":"https://orcid.org/0009-0003-2039-3235","observed_orcids":["https://orcid.org/0009-0003-2039-3235"]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":true,"raw_author_name":"Mourad Hmidouch","raw_affiliation_strings":["Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco"],"raw_orcid":"https://orcid.org/0009-0003-2039-3235","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139175905","display_name":"Hossam-Eddine Ejjebli","orcid":"https://orcid.org/0009-0006-4476-4274","observed_orcids":["https://orcid.org/0009-0006-4476-4274"]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Hossam-Eddine Ejjebli","raw_affiliation_strings":["Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco"],"raw_orcid":"https://orcid.org/0009-0006-4476-4274","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039487723","display_name":"Soumia Boulouiz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Soumia Boulouiz","raw_affiliation_strings":["Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158525512","display_name":"Zakaria Bazid","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Zakaria Bazid","raw_affiliation_strings":["Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco","Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Oujda, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110"]},{"raw_affiliation_string":"Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113932964","display_name":"Nabila Ismaili","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Nabila Ismaili","raw_affiliation_strings":["Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco","Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Oujda, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110"]},{"raw_affiliation_string":"Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5112797594","display_name":"Noha El Ouafi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108110","display_name":"Mohamed I University","ror":"https://ror.org/01ejxf797","country_code":"MA","type":"education","lineage":["https://openalex.org/I4210108110"]},{"id":"https://openalex.org/I4210141296","display_name":"Centre Hospitalo-Universitaire Mohammed VI d'Oujda","ror":"https://ror.org/04bmqy315","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210141296"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Noha El Ouafi","raw_affiliation_strings":["Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco","Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Oujda, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110"]},{"raw_affiliation_string":"Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Oujda, Morocco","institution_ids":["https://openalex.org/I4210108110"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5088828219"],"corresponding_institution_ids":["https://openalex.org/I4210108110","https://openalex.org/I4210141296"],"apc_list":{"value":600,"currency":"USD","value_usd":600},"apc_paid":{"value":600,"currency":"USD","value_usd":600},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.79772119,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"21","issue":"12","first_page":"6642","last_page":"6649"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13657","display_name":"Aortic Thrombus and Embolism","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/infective-endocarditis","display_name":"infective endocarditis","score":1.0},{"id":"https://openalex.org/keywords/streptococcus","display_name":"Streptococcus","score":0.9300000071525574},{"id":"https://openalex.org/keywords/mitral-valve-vegetation","display_name":"mitral valve vegetation","score":0.9380000233650208},{"id":"https://openalex.org/keywords/cerebral-embolism","display_name":"cerebral embolism","score":0.6650000214576721},{"id":"https://openalex.org/keywords/splenic-infarction","display_name":"splenic infarction","score":0.9610000252723694},{"id":"https://openalex.org/keywords/renal-infarction","display_name":"renal infarction","score":0.9950000047683716},{"id":"https://openalex.org/keywords/mycotic-aneurysm","display_name":"mycotic aneurysm","score":0.9860000014305115},{"id":"https://openalex.org/keywords/infectious-spondylodiscitis","display_name":"infectious spondylodiscitis","score":0.9309999942779541},{"id":"https://openalex.org/keywords/young-women","display_name":"young women","score":0.47099998593330383},{"id":"https://openalex.org/keywords/whole-body-imaging","display_name":"whole-body imaging","score":0.5529999732971191}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9663000106811523},{"id":"https://openalex.org/C2780176578","wikidata":"https://www.wikidata.org/wiki/Q2450598","display_name":"Infective endocarditis","level":2,"score":0.8690999746322632},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.498199999332428},{"id":"https://openalex.org/C2776035437","wikidata":"https://www.wikidata.org/wiki/Q1144114","display_name":"Embolization","level":2,"score":0.49399998784065247},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.48159998655319214},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3492000102996826},{"id":"https://openalex.org/C2775872228","wikidata":"https://www.wikidata.org/wiki/Q82504","display_name":"Endocarditis","level":2,"score":0.32739999890327454},{"id":"https://openalex.org/C3020199598","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Ischemic stroke","level":3,"score":0.30219998955726624},{"id":"https://openalex.org/C2910003425","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Embolic stroke","level":4,"score":0.29109999537467957},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.2669999897480011},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2599000036716461},{"id":"https://openalex.org/C2909822954","wikidata":"https://www.wikidata.org/wiki/Q275466","display_name":"Intracranial Embolism","level":3,"score":0.257099986076355},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2547000050544739},{"id":"https://openalex.org/C2779443120","wikidata":"https://www.wikidata.org/wiki/Q650912","display_name":"Bacteremia","level":3,"score":0.2502000033855438}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.radcr.2026.09.077","doi":"https://doi.org/10.1016/j.radcr.2026.09.077","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.radcr.2026.09.077","pdf_url":null,"source":{"id":"https://openalex.org/S190549722","display_name":"Radiology Case Reports","issn_l":"1930-0433","issn":["1930-0433"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13718783","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13718783/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13718783/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiol Case Rep","raw_type":"Text"},{"id":"pmid:42960255","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42960255","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology case reports","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:7c3b77cbe8584776bbe1bc209d86d405","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7c3b77cbe8584776bbe1bc209d86d405","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Radiology Case Reports, Vol 21, Iss 12, Pp 6642-6649 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.radcr.2026.09.077","doi":"https://doi.org/10.1016/j.radcr.2026.09.077","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.radcr.2026.09.077","pdf_url":null,"source":{"id":"https://openalex.org/S190549722","display_name":"Radiology Case Reports","issn_l":"1930-0433","issn":["1930-0433"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223179552.pdf","grobid_xml":"https://content.openalex.org/works/W7223179552.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W2016918648","https://openalex.org/W2076393391","https://openalex.org/W4386153816","https://openalex.org/W4391668601","https://openalex.org/W4394722818","https://openalex.org/W4394747805","https://openalex.org/W4395677785","https://openalex.org/W4396579511","https://openalex.org/W4400005800","https://openalex.org/W4405500414","https://openalex.org/W4406767207","https://openalex.org/W4415722390","https://openalex.org/W4417462752","https://openalex.org/W7140229251"],"related_works":["https://openalex.org/W2324058909","https://openalex.org/W3168586808","https://openalex.org/W2566609526","https://openalex.org/W2944349787","https://openalex.org/W4388451163","https://openalex.org/W7117578437","https://openalex.org/W2260885585","https://openalex.org/W4389431382","https://openalex.org/W4226083204","https://openalex.org/W4206777071"],"abstract_inverted_index":{"Infective":[0],"endocarditis":[1,34],"(IE)":[2],"is":[3],"a":[4,23,26,66,82,120,148,157,171,176,190],"life-threatening":[5],"condition":[6],"frequently":[7],"complicated":[8],"by":[9],"systemic":[10,141],"embolization,":[11],"most":[12],"commonly":[13],"involving":[14,143],"the":[15,39,63,96,110,129,161,187],"central":[16],"nervous":[17],"system,":[18],"spleen,":[19],"and":[20,41,56,81,103,113,133,154,164,185,201],"kidneys.":[21],"In":[22],"young":[24,177],"patient,":[25],"febrile":[27,172],"ischemic":[28,93,173],"stroke":[29,94,174],"should":[30],"be":[31],"considered":[32],"infective":[33,124,183],"until":[35],"proven":[36],"otherwise,":[37],"given":[38],"diagnostic":[40],"prognostic":[42],"stakes":[43],"of":[44,65,85,95,123,128,160,189],"an":[45,70,91],"early":[46],"diagnosis.":[47],"Multi-territorial":[48],"embolic":[49,151,199],"dissemination":[50],"at":[51],"presentation,":[52],"however,":[53],"remains":[54],"uncommon":[55],"carries":[57],"substantial":[58],"clinical":[59],"implications.":[60],"We":[61],"report":[62],"case":[64,168],"49-year-old":[67],"woman":[68],"with":[69,77,136],"undocumented":[71],"mitral":[72,111],"valve":[73],"disease":[74],"who":[75],"presented":[76],"acute":[78,92],"left":[79],"hemiparesis":[80],"one-month":[83],"history":[84],"high-grade":[86],"fever.":[87],"Brain":[88],"MRI":[89],"revealed":[90,139],"right":[97],"middle":[98],"cerebral":[99,149],"artery":[100],"territory.":[101],"Transthoracic":[102],"transesophageal":[104],"echocardiography":[105],"demonstrated":[106],"mobile":[107],"vegetations":[108],"on":[109],"valve,":[112],"blood":[114],"cultures":[115],"isolated":[116],"Streptococcus":[117],"species,":[118],"establishing":[119],"definite":[121],"diagnosis":[122],"endocarditis.":[125],"Contrast-enhanced":[126],"CT":[127],"brain,":[130],"chest,":[131],"abdomen,":[132],"pelvis,":[134],"together":[135],"spinal":[137],"MRI,":[138],"extensive":[140],"embolization":[142],"five":[144],"distinct":[145],"vascular":[146],"territories:":[147],"septic":[150],"focus,":[152],"splenic":[153],"renal":[155],"infarction,":[156],"mycotic":[158],"aneurysm":[159],"ileocolic":[162],"artery,":[163],"infectious":[165],"spondylodiscitis.":[166],"This":[167],"underscores":[169],"that":[170],"in":[175,195],"patient":[178,203],"warrants":[179],"urgent":[180],"screening":[181],"for":[182],"endocarditis,":[184],"highlights":[186],"value":[188],"systematic,":[191],"whole-body":[192],"imaging":[193],"work-up":[194],"detecting":[196],"clinically":[197],"silent":[198],"complications":[200],"guiding":[202],"management.":[204]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-22T00:00:00"}
