“…It is defined as IE with three or more negative blood cultures (aerobic and anaerobic) in spite of prolonged incubation [2,3]. It accounts for 3-31% of all IE, [4,5] and might entail high morbidity and mortality [6,7,8] due to delayed diagnosis and difficulty to determine an adequate treatment [9]. When blood culture-negative IE is suspected, a battery of diagnostic tests should be performed in order to achieve a correct diagnosis [8].…”