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Prolonged febrile illness: Infective endocarditis in adult without risk factors
1Department of Emergency Medicine, University of Alabama, Birmingham, AL, USA.
Abstract:
Prolonged febrile illness (PFI) in adults poses a diagnostic challenge in an Emergency Department (ED). The ED workup for PFI should target specific patient factors. Here, we report a case of mitral valve infective endocarditis in a 64-year-old male with no medical comorbidities, presenting with several weeks of fever. 1 out of 3 peripheral blood cultures obtained in the ED was positive for Haemophilus haemolyticus. Patient required mitral valve replacement during his hospitalization, and was discharged on a 4-week course of oral ciprofloxacin.
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