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Repeated blood cultures showed growth of Streptococcus oralis. Echocardiography demonstrated severe mitral regurgitation with a large vegetation attached to the prolapsed anterior leaflet. Surgical plasty of the mitral valve was performed because the vegetation measured over 10 mm in diameter and there was a risk of recurrence of embolic complications. This case demonstrates the link between MVP and Klinefelter syndrome and highlights the importance of performing cardiovascular screening and preventing endocarditis.", "subitem_description_type": "Abstract"}]}, "item_6_description_30": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7\uff08\u30b3\u30f3\u30c6\u30f3\u30c4\u306e\u7a2e\u985e\uff09", "attribute_value_mlt": [{"subitem_description": "Article", "subitem_description_type": "Other"}]}, "item_6_description_5": {"attribute_name": "\u5f15\u7528", "attribute_value_mlt": [{"subitem_description": "INTERNAL MEDICINE. 53(9):969-972 (2014)", "subitem_description_type": "Other"}]}, "item_6_link_3": {"attribute_name": "\u4fe1\u5dde\u5927\u5b66\u7814\u7a76\u8005\u7dcf\u89a7\u3078\u306e\u30ea\u30f3\u30af", "attribute_value_mlt": [{"subitem_link_text": "Izawa, Atsushi", "subitem_link_url": "http://soar-rd.shinshu-u.ac.jp/profile/ja.yNnVgpkh.html"}, {"subitem_link_text": "Ebisawa, Souichiro", "subitem_link_url": "http://soar-rd.shinshu-u.ac.jp/profile/ja.WhAhgUkh.html"}, {"subitem_link_text": "Motoki, Hirohiko", "subitem_link_url": "http://soar-rd.shinshu-u.ac.jp/profile/ja.ymfFgpkh.html"}, {"subitem_link_text": "Miyashita, Yusuke", "subitem_link_url": "http://soar-rd.shinshu-u.ac.jp/profile/ja.yUfmgpkh.html"}]}, "item_6_link_67": {"attribute_name": "WoS", "attribute_value_mlt": [{"subitem_link_text": "Web of Science", "subitem_link_url": "http://gateway.isiknowledge.com/gateway/Gateway.cgi?\u0026GWVersion=2\u0026SrcAuth=ShinshuUniv\u0026SrcApp=ShinshuUniv\u0026DestLinkType=FullRecord\u0026DestApp=WOS\u0026KeyUT=000335884900007"}]}, "item_6_publisher_4": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "JAPAN SOC INTERNAL MEDICINE"}]}, "item_6_relation_47": {"attribute_name": "PubMed", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "24785888"}], "subitem_relation_type_id": {"subitem_relation_type_id_text": "http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search\u0026DB=pubmed\u0026term=24785888", "subitem_relation_type_select": "PMID"}}]}, "item_6_relation_48": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "10.2169/internalmedicine.53.1748"}], "subitem_relation_type_id": {"subitem_relation_type_id_text": "http://dx.doi.org/10.2169/internalmedicine.53.1748", "subitem_relation_type_select": "DOI"}}]}, "item_6_rights_62": {"attribute_name": "\u6a29\u5229", "attribute_value_mlt": [{"subitem_rights": "Copyright\u00a9 2014 The Japanese Society of Internal Medicine"}]}, "item_6_select_64": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_6_source_id_35": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0918-2918", "subitem_source_identifier_type": "ISSN"}]}, "item_6_source_id_39": {"attribute_name": "NII ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0918-2918", "subitem_source_identifier_type": "ISSN"}]}, "item_6_source_id_40": {"attribute_name": "\u66f8\u8a8c\u30ec\u30b3\u30fc\u30c9ID", "attribute_value_mlt": [{"subitem_source_identifier": "AA10827774", "subitem_source_identifier_type": "NCID"}]}, "item_6_text_69": {"attribute_name": "wosonly authkey", "attribute_value_mlt": [{"subitem_text_value": "infective endocarditis; mitral valve prolapse; Klinefelter syndrome; echocardiography"}]}, "item_6_text_70": {"attribute_name": "wosonly keywords", "attribute_value_mlt": [{"subitem_text_value": "MYXOMATOUS VALVULAR DYSTROPHY; TURNER-SYNDROME; XQ28"}]}, "item_6_textarea_68": {"attribute_name": "wosonly abstract", "attribute_value_mlt": [{"subitem_textarea_value": "We herein report a case of infective endocarditis associated with mitral valve prolapse (MVP) in a 34-year-old man with Klinefelter syndrome. The patient was admitted with a fever and headache that had persisted for three weeks. Repeated blood cultures showed growth of Streptococcus oralis. Echocardiography demonstrated severe mitral regurgitation with a large vegetation attached to the prolapsed anterior leaflet. Surgical plasty of the mitral valve was performed because the vegetation measured over 10 mm in diameter and there was a risk of recurrence of embolic complications. This case demonstrates the link between MVP and Klinefelter syndrome and highlights the importance of performing cardiovascular screening and preventing endocarditis."}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Ueki,  Yasushi"}], "nameIdentifiers": [{"nameIdentifier": "21985", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Izawa,  Atsushi"}], "nameIdentifiers": [{"nameIdentifier": "21986", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ebisawa,  Souichiro"}], "nameIdentifiers": [{"nameIdentifier": "21987", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Motoki,  Hirohiko"}], "nameIdentifiers": [{"nameIdentifier": "21988", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Miyashita,  Yusuke"}], "nameIdentifiers": [{"nameIdentifier": "21989", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Tomita,  Takeshi"}], "nameIdentifiers": [{"nameIdentifier": "21990", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Koyama,  Jun"}], "nameIdentifiers": [{"nameIdentifier": "21991", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Takano,  Tamaki"}], "nameIdentifiers": [{"nameIdentifier": "21992", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Amano,  Jun"}], "nameIdentifiers": [{"nameIdentifier": "21993", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ikeda,  Uichi"}], "nameIdentifiers": [{"nameIdentifier": "21994", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2015-09-25"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "Infective_Endocarditis_Associated_Mitral_Valve.pdf", "filesize": [{"value": "686.3 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 686300.0, "url": {"label": "Infective_Endocarditis_Associated_Mitral_Valve.pdf", "url": "https://soar-ir.repo.nii.ac.jp/record/8012/files/Infective_Endocarditis_Associated_Mitral_Valve.pdf"}, "version_id": "170e60db-fe8b-4b10-84f8-f01cba450131"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "infective endocarditis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "mitral valve prolapse", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Klinefelter syndrome", "subitem_subject_scheme": "Other"}, {"subitem_subject": "echocardiography", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Infective Endocarditis Associated with Mitral Valve Prolapse in a Patient with Klinefelter Syndrome", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "Infective Endocarditis Associated with Mitral Valve Prolapse in a Patient with Klinefelter Syndrome"}]}, "item_type_id": "6", "owner": "1", "path": ["882/883"], "permalink_uri": "http://hdl.handle.net/10091/17695", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_name_i18n": "\u516c\u958b\u65e5", "attribute_value": "2014-07-09"}, "publish_date": "2014-07-09", "publish_status": "0", "recid": "8012", "relation": {}, "relation_version_is_last": true, "title": ["Infective Endocarditis Associated with Mitral Valve Prolapse in a Patient with Klinefelter Syndrome"], "weko_shared_id": 3}