The preliminary culture report shows Gram +ve cocci in two samples.
The definitive report shows isolation of Streptococcus bovis.
The echocardiogram shows an oscillatory mass attached to the mitral valve with concomitant mitral regurgitation. There are no other structural cardiac defects. The left ventricular ejection fraction (LVEF) is 63%.
Colonoscopy shows an ulcerated fungating growth in the sigmoid colon. Multiple biopsies are sent for histology.