Systemic embolic (e.g. stroke; to fingers/toes) events w/seeding and assoc sx w/mitral or aortic (left sided)
Sob w/septic emboli to lung w/infxn w/tricuspid or pulmonic (right sided)
LBP w/epidural abscess/vertebral osteo
Joint pain and swelling w/septic arthritis
Rapidity of clinical progression affected by organism and pt substrate (e.g. Strep Viridans--> can cause sx for weeks; Staph Aureus--> rapid progression to sepsis/death - hours to days)
Physical Exam Findings
Fever, other abnl VS (based on degree of illness)
New or worse murmur
Relatively rare skin findings include: Janeway lesions→flat, painless, erythematous lesions on hands; Osler's nodes→ painful nodules on fingers
Findings associated w/seeding→ e.g. lbp or neuro findings from vertebral osteo, epidural abscess; septic emboli to toes/fingers