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What is the association between bacterial endocarditis and structural heart disease?
Known structural heart disease is present in only approximately 50% of patients who develop bacterial endocarditis. In patients with known cardiac disease, fewer than 25% present with streptococcal endocarditis of oral origin and only about 40% of patients with enterococcal endocarditis develop endocarditis in association with a procedure for which prophylaxis could have been given. Unfortunately, this implies that even if prophylaxis were always effective, it is impossible to identify the time of expo-sure in the majority of cases.
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