“…1,2 Risk factors include having a prosthetic cardiac valve, history of congenital heart disease, and IV drug use, all of which were absent in the patient described in this case. [1][2][3][4] Overall, very little is known about the pathogenesis, incidence, and symptomatology of bilateral infective endocarditis, especially in patients without traditional risk factors. This patient, who had combined aortic and pulmonary endocarditis, presented with recurrent fevers, weight loss, a dry cough, and a new diastolic murmur.…”