- Presentation is often non-specific and most commonly includes fever.
- Historical sources of bacteraemia should be considered, such as indwelling vascular catheters, recent dental work, and intravenous drug use.
- Symptoms are often subtle and examination is often unrevealing, but may demonstrate cardiac murmur, peripheral emboli, Osler nodes, Roth spots, or Janeway lesions.
- Three sets of blood cultures should be obtained prior to initiation of antibiotic therapy.
- An echocardiogram should be obtained in all suspected cases.
- Treatment is guided by presentation, clinical findings, and organism virulence.
Other related conditions
- Assessment of fever of unknown origin
- Acute exacerbation of congestive heart failure
- Ischaemic stroke
- Atrial myxoma
- Hypertrophic cardiomyopathy
- Intra-abdominal abscess
- Mitral valve prolapse
- Overview of congenital heart disease
- Overview of substance abuse and overdose
- Rheumatic fever
- Aortic stenosis
Last updated: Jan 17, 2013