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Early diagnosis is normally difficult due to diverse and often vague presenting signs. One uncommon complication is severe coronary syndrome that may be additional to dissemination of septic emboli. Although uncommon, this coronary problem is life threatening and associated with an increase of mortality. Point-of-care ultrasound (POCUS) is a helpful diagnostic modality in patients with suspected endocarditis because it can attempt to determine vegetations and proof of cardiac ischemia by distinguishing local