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Order blood cultures drawn from two sites.
Infectious endocarditis (IE) is an infection of the endocardium, the inner lining of the heart muscle, brought on by pathogens that enter through the circulation. The majority of cases of IE are seen in individuals with abnormal (leaky or narrow) heart valves, artificial (prosthetic) heart valves, or pacemaker leads. Any structural cardiac condition can increase a person's risk of having IE. Rheumatic fever used to be the primary risk factor for IE and is still prevalent in underdeveloped nations. Fatigue and shortness of breath with exercise are the primary symptoms, along with a low-grade persistent temperature without a clear cause. Along with a murmur that is new or shifting, patients may also have joint and muscular discomfort.
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