Infective endocardit: Although IV drug users often develop endocarditis on the right side of the heart they may have any valve involved, particularly if there exists a right to left shunt, either from the pulmonary HTN induced by IV drug use emboli or anatomic variances (patent foramen ovale, etc.). Periodonitis with bacteremia most commonly produces aortic or mitral valve disease, but again any valve may be infected.
Answered 3/25/2019
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