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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.
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 …