Q:

A 53yo had a dental extraction after which he recently had a mitral valve prolapse, high temp of 39C, cardiac failure and new cardiac murmur. What is the single most likely dx?

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A 53yo had a dental extraction after which he recently had a mitral valve prolapse, high temp of 39C, cardiac failure and new cardiac murmur. What is the single most likely dx?


  1. Atheroma
  2. Congenital
  3. Regeneration
  4. Infection
  5. Neoplastic

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The key is D. Infection. [Infective endocarditis (IE) is defined as an infection of the endocardial surface of the heart which may include one or more heart valves, the mural endocardium, or a septal defect. Its intracardiac effects include severe valvular insufficiency, which may lead to intractable congestive heart failure and myocardial abscesses. If left untreated, IE is almost inevitably fatal.Dental extraction is a risk factor for infective endocarditis].

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