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A 37-year-old abattoir worker is admitted with 1 month of shortness of breath and fever, and multiple non tender "dots" on the palms. A new soft murmur is auscultated which radiated to the axilla. Three Blood cultures and a chest X-ray were unremarkable, while blood test results show a raised C reactive protein of 67mg/L (normal <5mg/L) . An echocardiogram confirms vegetations on the mitral valve and they are started on empirical antibiotics. Which is the most appropriate next step?
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