Infective Endocarditis — Uganda (General Adult population)
Clinical Features
Diagnostic triad: persistent fever, emboli, changing murmur. Fatigue, weight loss. Splinter haemorrhages, finger clubbing. Heart failure. Any unexplained fever in a patient with a heart valve problem should be regarded as endocarditis.
Investigations
Blood cultures: At least 3 sets (8 ml each) from separate venipunctures, at least 1 hour apart. Complete blood count, ESR. Urinalysis for microscopic haematuria. Echocardiography, ECG.
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