Evidence map›Paper›PMID 42345482›Full record

ArticleJACC. Case reports2026

Endocarditis Masquerading as Malignancy: Native Valve HACEK Infection.

Vlad S Shusterman, Gidon Salamatbad, Andrew Cyr, Yisrael Wallach, Alexander Carlin, Christine Yen, Eileen Kim, Andrew Galmer

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Vlad S ShustermanDepartment of Internal Medicine, Northwell North Shore University Hospital, Manhasset, New York, USA. Electronic address: Vshusterman@northwell.edu.
Gidon SalamatbadDepartment of Internal Medicine, Northwell North Shore University Hospital, Manhasset, New York, USA.
Andrew CyrDepartment of Internal Medicine, Northwell North Shore University Hospital, Manhasset, New York, USA.
Yisrael WallachDepartment of Internal Medicine, Northwell North Shore University Hospital, Manhasset, New York, USA.
Alexander CarlinDepartment of Internal Medicine, Northwell North Shore University Hospital, Manhasset, New York, USA.
Christine YenDepartment of Cardiology, Northwell North Shore University Hospital, Manhasset, New York, USA.
Eileen KimDepartment of Internal Medicine, Northwell North Shore University Hospital, Manhasset, New York, USA.
Andrew GalmerDepartment of Cardiology, Northwell North Shore University Hospital, Manhasset, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHACEK (Haemophilus, Aggregatibacter, Cardiobacterium, Eikenella, Kingella) endocarditis is a rare cause of subacute infective endocarditis typically occurring in patients with pre-existing valvular pathology or structural heart disease. CASE SUMMARY: A 65-year-old male presented with months of night sweats, fevers, anemia, and weight loss concerning for malignancy. Transthoracic echocardiography was negative for vegetations. Blood cultures grew Aggregatibacter actinomycetemcomitans, and transesophageal echocardiography confirmed vegetations on the mitral and aortic valves. The patient was treated successfully with a 6-week course of intravenous ceftriaxone. DISCUSSION: This case highlights the diagnostic challenge of indolent HACEK endocarditis in the absence of traditional risk factors, presenting as malignancy, underscoring the importance of transesophageal echocardiography, even when transthoracic imaging is unrevealing. TAKE-HOME MESSAGE: In patients with persistent constitutional symptoms with negative malignancy workup, HACEK endocarditis should remain in the differential, and transesophageal echocardiography is essential for diagnosis.

Indexed as

atrial fibrillationechocardiographyendocarditis

Identifiers

PMID42345482
PMCPMC13332672

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