<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8705</journal-id>
<journal-title><![CDATA[CES Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[CES Med.]]></abbrev-journal-title>
<issn>0120-8705</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87052023000200090</article-id>
<article-id pub-id-type="doi">10.21615/cesmedicina.7273</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[A Rare Case of HACEK Endocarditis in the Context of a Permanent Pacemaker]]></article-title>
<article-title xml:lang="es"><![CDATA[Un caso raro de endocarditis HACEK en el contexto de un marcapasos permanente]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Echavarría Cross]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar Gil]]></surname>
<given-names><![CDATA[Tomás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Roncancio Villamil]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durango Gutiérrez]]></surname>
<given-names><![CDATA[Luisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica CardioVID  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Clínica CardioVID  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<fpage>90</fpage>
<lpage>95</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87052023000200090&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87052023000200090&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87052023000200090&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Infective endocarditis (IE) is a serious medical condition that can lead to high morbidity and mortality rates. The prevalence of healthcare-associated IE is increasing due to the use of therapeutic devices, such as intravascular catheters and cardiac devices. The HACEK group of bacteria, are commonly found in human respiratory and genitourinary tracts, are low virulence and fastidious organisms that are associated with blood culture-negative endocarditis. Proper diagnosis requires a combination of clinical, microbiological, and imaging results. The following study presents a case of atypical device-associated IE caused by Haemophilus influenzae in a 56-year-old man with a permanent pacemaker.  Methodology: description of a clinical problem, its diagnosis, management, and outcome, accompanied with a literature review.  Conclusion:  This study highlights the importance of considering the HACEK group of bacteria in culture-negative IE cases and the use of advanced imaging techniques in diagnosis to prevent further complications and improve patient outcomes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La endocarditis infecciosa (EI) es una condición médica grave que puede llevar a altas tasas de morbilidad y mortalidad. La prevalencia de la EI asociada a la atención médica está aumentando debido al uso de dispositivos terapéuticos, como catéteres intravasculares y dispositivos cardiacos. El grupo de bacterias HACEK, se encuentra comúnmente en las vías respiratorias y genitourinarias humanas, son organismos de baja virulencia y de crecimiento fastidioso, los cuales están asociados con la endocarditis de hemocultivos negativos. El diagnóstico adecuado requiere una combinación de resultados clínicos, microbiológicos y de imágenes. El siguiente estudio presenta un caso de una EI atípica asociada a un dispositivo cardiaco causada por Haemophilus influenzae en un hombre de 56 años con un marcapasos permanente.  Metodología:  descripción de un problema clínico, su diagnóstico, manejo y resultado, acompañado de una revisión de la literatura.  Conclusión:  Este estudio destaca la importancia de considerar el grupo de bacterias HACEK en casos de EI negativos para cultivos y el uso de técnicas avanzadas de imágenes en el diagnóstico para prevenir complicaciones adicionales y mejorar los resultados del paciente.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[bacterial endocarditis]]></kwd>
<kwd lng="en"><![CDATA[HACEK group]]></kwd>
<kwd lng="en"><![CDATA[Haemophilus influenzae]]></kwd>
<kwd lng="en"><![CDATA[artificial pacemaker]]></kwd>
<kwd lng="en"><![CDATA[cardiac imaging techniques]]></kwd>
<kwd lng="es"><![CDATA[endocarditis bacteriana]]></kwd>
<kwd lng="es"><![CDATA[grupo HACEK]]></kwd>
<kwd lng="es"><![CDATA[Haemophilus influenzae]]></kwd>
<kwd lng="es"><![CDATA[marcapaso artificial]]></kwd>
<kwd lng="es"><![CDATA[técnicas de imagen cardíaca]]></kwd>
</kwd-group>
</article-meta>
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