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Pathology 27

A 30-year-old man comes into the clinic with a 2-week history of fever, cough, and shortness of breath. He reports several episodes of bloody sputum. He is a non-smoker and lives a healthy lifestyle. Past medical history is unremarkable, and he does not take any prescription medications. Vital signs are within normal limits. Physical examination shows a crescendo-decrescendo midsystolic ejection murmur loudest in the right upper sternal border. Transesophageal echocardiogram (TEE) shows a tricuspid valve vegetation. Blood cultures show gram-positive cocci in clusters.

Which of the following most likely predisposed him to his current infection?

  • A) Childhood asthma
  • B) Endoscopy
  • C) Intravenous drug use
  • D) Pharyngeal infection
  • E) Recurrent sinusitis


Brandon Sigamony


Dr. Ted O'Connell

Last updated

Jan 07, 2023


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