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A 20-year-old male asked:

Do all prolonged fevers in a mitral valve prolapsed patient mean endocarditis?

3 doctor answers6 doctors weighed in
Dr. Calvin Weisberger
52 years experience
Fever: Prolonged fever needs to be evaluated. Endocarditis is one possibility for a cause.
Dr. Marc Levine
50 years experience
Usually not: Usually not, but you should have your own doctor check you.
Dr. Michael Ein
Infectious Disease 49 years experience
No: There are many infectious and non infection causes of prolonged fever. Prolonged fever in a patient with an abnormal heart valve always warrants a diagnostic work up to rule out endocarditis. This includes at least multiple blood cultures and a cardiac echo preferably a trans-esophageal echo.

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Last updated Oct 27, 2013

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