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Four-valve endocarditis caused by group G Streptoccocci
  1. J P Fernandez,
  2. D B McKenzie,
  3. P R Roberts
  1. juan.fernandez@doctors.org.uk

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A 41-year-old man, a known intravenous drug user with positive hepatitis C serology, was admitted with a 4-day history of malaise, rigors and night sweats.


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Clinical examination demonstrated a pyrexia (39.4°C), sinus tachycardia (120 bpm) and hypotension (blood pressure 85/55 mm Hg). Auscultation disclosed pansystolic and early diastolic murmurs. There were …

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