{
  "abstract": "Infective endocarditis (IE) is a serious condition that can lead to neurological complications, including hemorrhagic stroke. A 65-year-old man who had undergone mechanical mitral valve replacement at 63 years of age and had been on oral anticoagulant therapy developed multiple intracerebral hemorrhages (ICHs) and cerebral microbleeds (CMBs) within a short period. The patient was diagnosed with IE caused by Streptococcus mitis/oralis. He recovered with antibiotic treatment alone, resulting in a favorable outcome for the patient. This case emphasizes the importance of considering IE in the differential diagnosis for multiple cerebral hemorrhages and the association between anticoagulant therapy, multiple ICHs, and CMBs in IE.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "name": "Kazumasa Sekiguchi"
    },
    {
      "name": "Jun Sawada"
    },
    {
      "name": "Kosuke Matsuzono"
    },
    {
      "name": "Yusuke Ishiyama"
    },
    {
      "name": "Yuhei Anan"
    },
    {
      "name": "Reiji Koide"
    },
    {
      "name": "Ryota Tanaka"
    },
    {
      "name": "Shigeru Fujimoto"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/byhc8hcary24p.bib",
  "cited_by": 0,
  "doi": "10.2169/internalmedicine.7355-26",
  "fulltext_url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7355-26/_article",
  "id": "byhc8hcary24p",
  "issns": [
    "1349-7235",
    "0918-2918"
  ],
  "landing_url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7355-26/_article",
  "language": null,
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "jstage-journal",
      "medicine/general"
    ],
    [
      "openalex",
      "2713|Infective Endocarditis Diagnosis and Management"
    ]
  ],
  "openalex": "W7169540317",
  "pdf_url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7355-26/_pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-07-18",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/byhc8hcary24p.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:31Z",
      "native_id": "10.2169/internalmedicine.7355-26",
      "source": "jstage",
      "url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7355-26/_article"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Infective Endocarditis Diagnosis and Management",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Infective Endocarditis Presenting with Rapidly Progressive Cerebral Microbleeds and Multiple Intracerebral Hemorrhages: A Case Report",
  "title_text": "Infective Endocarditis Presenting with Rapidly Progressive Cerebral Microbleeds and Multiple Intracerebral Hemorrhages: A Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:31Z",
  "url": "https://research.draconitic.com/paper/byhc8hcary24p",
  "venue": "Internal Medicine",
  "versions": []
}