Case 8

A 26 year old intravenous drug user presents to ED complaining of feeling unwell. He reports a 1 month history of intermittent fevers, headache, myalgia and night sweats. His GP knows him well and his referral letter mentions a new cardiac murmur.

His observations are normal in the ED.

Question 1

What diagnosis are you worried about?

Question 2

What physical signs would you look for?

Question 3

How is the diagnosis confirmed?