ACROMEGALY - may be associated with HYPERTENSION, HYPERTROPHIC CARDIOMYOPATHY , VALVULOPATHY DUE TO PAPILLARY MUSCLE DYSFUCTION ,COLONIC POLYPOSIS.etc.

suppose this patient devolops infective endocarditis ->> LOOK FOR COLON POLYPS WHICH USUALLY ASSOCIATED WITH STREPTOCOCCUS BOVIS PROLIFERATION IN COLON > BACTEREMIA THUS CAUSING INFECTIVE ENDOCARDITIS OF AQUIRED MITRAL VALVULOPATHY IN ACROMEGALY....