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HACEK endocarditis is often difficult to diagnose given the slow-growing characteristics of the organisms involved.  Haemophilus parainfluenzae , one of the HACEK organisms, is an uncommon cause of endocarditis. We describe a case of a previously healthy young man with  H parainfluenzae  endocarditis that was associated with maxillary sinusitis and severe systemic complications, including septic cerebral emboli and mitral valve perforation. Previously reported cases have also described a predilection for younger people, cardiac valve pathology, and a high prevalence of stroke.

Haemophilus parainfluenzae Endocarditis Associated With Maxillary Sinusitis and Complicated by Cerebral Emboli in a Young Man