Which symptom is typically NOT associated with bacterial endocarditis?

Polydipsia is typically not associated with bacterial endocarditis. Bacterial endocarditis is an infection of the endocardium, the inner lining of the heart, and its symptoms mainly arise from infection and inflammation of the cardiac structures.

Fever is a common symptom due to the inflammatory response to infection. Murmurs may be present because of changes in the heart valves or because of new valve regurgitation due to vegetations forming on the valves. Nail hemorrhages, or splinter hemorrhages, are also a classic manifestation of bacterial endocarditis, resulting from small emboli that can occlude capillaries in the nailbed.

Polydipsia, which is characterized by excessive thirst, is not a typical symptom and is more commonly associated with conditions like diabetes mellitus, rather than infectious processes like bacterial endocarditis. Thus, identifying polydipsia as the symptom that is not generally associated with bacterial endocarditis is accurate.