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ModerateInfectious DiseasesInfective Endocarditisus-abemus-abimus-usmle-step-2us-usmle-step-3

A 52-year-old man with a history of intravenous drug use presents with fever, a new holosystolic murmur at the left lower sternal border, and multiple tender nodules on his fingertips. Blood cultures are drawn. Transthoracic echocardiogram shows a vegetation on the tricuspid valve. What is the most appropriate next step in management?

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