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Previous Volume 356:2430-2431 June 7, 2007 Number 23 Next

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To the Editor: The mobile aortic thrombus described by Adam et al. (Feb. 22 issue)¹ as suggestive of intraaortic endocarditis does not even warrant a diagnosis of possible endocarditis, according to the Duke criteria.² At admission, the patient had definite enterococcal endocarditis, meeting two major criteria: echocardiographic evidence of vegetations and the presence of a typical endocarditis pathogen. The fever initially responded to antibiotics but then relapsed. This is common during treatment of endocarditis, for numerous reasons. The suggestion that the relapse was due to a second pathogen seems unlikely. For unexplained reasons, the supposed aortic vegetation was not examined . . . [Full Text of this Article]

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N Engl J Med 2007; 356:874, Feb 22, 2007. Correspondence

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