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A 37-year-old female presents to the emergency room with a fever. Chest xray shows multiple patchy infiltrates in both lungs. Echocardiography and
blood cultures suggest a diagnosis of acute bacterial endocarditis limited
to the tricuspid valve. Which of the following is the most probable
predisposing condition?
A. Congenital heart disease
B. Illicit drug use
C. Rheumatic fever
D. Rheumatoid arthritis
E. Systemic lupus erythematosus