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Sensitivities of tissue culture, sonicate fluid culture, and PCR were70.1, 72.9, and 77.1%, respectively, with sonicate fluid PCR being more sensitive thantissue culture (P = 0.04) [50]. ^Dense irregular connective tissue (DICT) surrounds the adipose tissue. Winchester denies heartdefect, murmur, history of rheumatic fever, cardiac sur-gery or intervention, previous ECG, or medications forheart disease

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