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    Subjects/Medicine/Infective Endocarditis
    Infective Endocarditis
    medium
    stethoscope Medicine

    A 38-year-old man with a history of rheumatic mitral stenosis presents with fever, new cardiac murmur, and splinter hemorrhages. Blood cultures grow Streptococcus viridans. Regarding the modified Duke criteria for diagnosis of infective endocarditis, all of the following are major criteria EXCEPT:

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