ABSTRACT

For each of the following scenarios, select the most likely offending pathogen. Each option may be used once, more than once or not at all.

1. A 32-year-old male intravenous drug user presents with a 4-week history of fever, lethargy and weight loss. On examination, you find that he has swollen ankles and a raised jugular venous pressure. On auscultation, you notice a pansystolic murmur that is best heard over the left sternal border.