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Infective endocarditis is a very complex disease with a serious prognosis. Even if it is not a very common disease most cardiologists are faced with a few number of cases each year, and every case is a difficult one. In the recent Euro Heart Survey for valvar diseases,1 5001 patients with valvar heart disease were included during a three month period from 27 different European countries. Three per cent of them were patients with infective endocarditis and this figure was similar in the different …