Penicillin sensitive viridans streptococcus or Strep bovis (penicillin MIC ⩽ 0.1 mg/l) |
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No cardiovascular risk factors such as heart failure, aortic insufficiency or conduction abnormalities |
No evidence of thromboembolic disease |
Native valve infection |
No vegetations more than 5 mm diameter on echocardiogram |
Clinical response within seven days. Temperature should return to normal, patient should feel well and appetite return |