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1 Division of Cardiology, Department of Medicine, University Hospitals of Cleveland
2 Associate Professor of Medicine, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland
An 18-year-old college girl with an isolated, late systolic, nonejection click developed subacute bacterial endocarditis. Her course was uncomplicated except for the development of a late systolic murmur following the click. The importance of prophylaxis against endocarditis in patients with nonejection, systolic clicks, even in the absence of a murmur is emphasized.
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