31. Cardiovascular involvement can include endocarditis resulting in death. 32. Less commonly it can present as pneumonia, endocarditis , genital or intraabdominal infections. 33. Kolle had been suffering from endocarditis since 1922. 34. Mortality for infective endocarditis is around 20 %. 35. Lastly, this bacteria has also been the pathogen behind a case of endocarditis . 36. It may also be used to prevent bacterial endocarditis in those who cannot take penicillin. 37. He died of endocarditis on 18 April that year, at the age of 56. 38. It had caused vegetative endocarditis in the animal, leading to fatal congestive heart failure. 39. In rare instances the mitral valve can be destroyed by infection or a bacterial endocarditis . 40. These emboligenic disorders include atrial fibrillation, patent foramen ovale, endocarditis or cholesterol embolism.