Subacute bacterial endocarditis (SBE) evolves over weeks to months, often without typical features of acute endocarditis. Its presentation progresses gradually until possibly complicated by sentinel events, such as a cerebrovascular accident from embolization or a ruptured vessel. This is a case of SBE presenting as symptomatic anemia in a female patient with severe aortic regurgitation (AR) and mitral regurgitation (MR) due to bi-valvular vegetations in the absence of typical acute endocarditis and congestive heart failure (CHF) features.
Keywords: bivalvular endocarditis; embolic events; infective endocarditis cerebral infarction; infective endocarditis complications; multi-valve endocarditis; mycotic aneurysms; subacute bacterial endocarditis.
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