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The onset of symptoms from endocarditis varies with the type of disease and the cause of the infection. Individuals with endocarditis may experience the following symptoms:
- Fever, which may be low grade, particularly with subacute endocarditis
- Chills
- Weight loss
- Shortness of breath
- Persistent cough
- Night sweats
- Headache
- Arthritis, or joint pain
- Back or chest pain
- Dark red lines of bleeding under the nails (splinter hemorrhages)
- Tiny, purplish-red pinpoint spots of bleeding under the skin (petechiae)
- Painless bumpy nodules on the palms of the hands and soles of the feet
- Tender spots under the skin on the pads of the fingers (Oster’s nodes)
Clinical signs that may be confirmed by a physician include the following:
- A new heart murmur or change in the quality of an existing heart murmur
- Embolisms, caused by clumps of infectious bacteria or fungi, and blood cells
- Enlarged spleen
- Stroke
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