He Is Suffering From A Heart Mumur Accompanied By Endocarditis. What Is The Likely Way To Contact Endocarditis

My friend is a drug addict and he goes to the doctor and is informed that he is suffering from a heart mumur accompanied by endocarditis. What is the most...

My friend is a drug addict and he goes to the doctor and is informed that he is suffering from a heart mumur accompanied by endocarditis. What is the most likely way he contacted endocarditis?
Thank you

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