After an influenza-like illness,the patient complains of chills and small petechiae in his mouth and his legs.A heart murmur is detectable.These are characteristic signs of:

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These symptoms are indicative of infective endocarditis, which is an infection of the heart's inner lining (endocardium) typically involving the heart valves. The presence of fever, petechiae, a new or changed heart murmur, and a recent history of a flu-like illness suggest this diagnosis.

After an Influenza-Like Illness,the Patient Complains of Chills and Small