# Infective or Non-Infective Endocarditis: A Brief Literature Review Based on a Case Report

## TL;DR

This paper presents a case of a patient with multiple valve lesions and fever, exploring whether the condition is infective or non-infective endocarditis.

## Contribution

The novelty lies in the detailed case presentation combined with a literature review to differentiate between infective and non-infective endocarditis.

## Key findings

- The patient had lesions on multiple heart valves and a history of multiple myeloma.
- The report highlights the challenges in diagnosing endocarditis in immunocompromised patients.
- Clinical questions and literature review are used to guide the diagnostic process.

## Abstract

In the present report, we describe a patient presenting in the intensive care unit with fever, respiratory failure, and multiple lesions on cardiac valves. The patient, with a history of multiple myeloma under treatment, was intubated due to ARDS from influenza, and cardiac ultrasonography revealed lesions in the aortic, mitral, and tricuspid valves. There is a step-by-step approach in the case presentation, with clinical questions, while there is a review of the current literature concerning the issue.