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Question category: Gastroenterology

A 52 year old gentleman presents with lethargy, night sweats and pyrexia of unknown origin. He has a history of hypertension and is currently on ramipril. He recently has had dental treatment. On examination he is found to have a murmur and is pyrexial. An echo confirms evidence of vegetation and blood cultures reveal S. bovis. What is the most likely source of the infection?


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