Symptoms of endocarditis can vary from person to person. Endocarditis may develop slowly or suddenly. It depends on the type of germs causing the infection and whether there are other heart problems. Common symptoms of endocarditis include: 
Aching joints and muscles
Chest pain when you breathe
Fatigue
Flu-like symptoms, such as fever and chills
Night sweats
Shortness of breath
Swelling in the feet, legs or belly
A new or changed whooshing sound in the heart (murmur)
 Less common endocarditis symptoms can include: 
Unexplained weight loss
Blood in the urine
Tenderness under the left rib cage (spleen)
Painless red, purple or brown flat spots on the soles bottom of the feet or the palms of the hands (Janeway lesions)
Painful red or purple bumps or patches of darkened skin (hyperpigmented) on the tips of the fingers or toes (Osler nodes)
Tiny purple, red or brown round spots on the skin (petechiae), in the whites of the eyes or inside the mouth
