Infective endocarditis can manifest as all except -

Infected thrombi* or vegetations* are the characteristic pathological features of infective endocarditis. Vegetations are found along the valve cusps. They art friable*, bulky* and potentially destructive*. Sometimes they erode into the underlying myocardium to produce an abscess cavity (ring abscess)*. Major cardiac complications in infective endocarditis ; Valvular damage causing insufficiency or stenosis* Myocardial ring abscess*. Perforation of aorta, interventricular septum or free wall or invasion of the conduction system*. Suppurative pericarditis*. Endocarditis can also complicate artificial valve, causing their partial dehiscence with para valvular leak*