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Mobile vegetation on the anterior cusp

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A 62-year-old male patient was seen by his family GP, presenting with low-grade fevers, night sweats, and fatigue for 3 weeks. The patient had a history of a heart murmur but had never undergone extensive evaluation. He had been in generally excellent health with normal exercise tolerance. Approximately 6 weeks ago, he underwent an uncomplicated extraction of an impacted wisdom tooth but received no antibiotics prior to the procedure. The patient was admitted to the hospital, and blood samples were drawn. An echocardiogram revealed a bicuspid aortic valve with an 8-mm mobile vegetation on the anterior cusp.

Reference no: EM133690173

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