HiWelcome to Just AnswerDo you have fever?
Shortness of breath either at rest or on exertion?
Thanks for the input.
Well, every new symptoms that might be suggestive of heart involvement should always be investigated.
In the absence of fever or marked shortness of breath, endocarditis is little unlikley but remains a possibility (as it may present at times in sub-acute forms).
In any case, you need an evaluation by a cardiologist in terms of a clinical examination, and tests like an EKG and Echo.
We need to make sure that we do not miss a cardiac problem here which can become serious.
I hope this clarifies and answers your question.
Kindest Regards XXXXX XXXXX luck.
Blood Culture is the gold standard.
An echo can identify the infective vegetations on the heart valves.
Antibiotic course can make the culture results negative, so repeated cultures have to be taken at times.
Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels may also be raised.