case_images: PMC11007214_01
case_images: Patient's emergency echocardiography, abnormal CT scans of the patient's head and abdomen. (A) The patient's apical four-chamber view of echocardiography. (B) An irregular isoechoic mass of approximately 45 x 27 mm in size was attached to the anterior mitral valve (indicated by the white arrow). (C) On the left side of the anterior horn of the lateral ventricle, the left thalamus, the left parietal-occipital lobe, and the left side of the splenium of the corpus callosum, a patchy low density shadow with clear boundaries is visible (indicated by the white arrows). (D) Patchy low-density shadow (indicated by the white arrows) on the spleen.
case_images: fcvm-11-1334457-g001.jpg
case_images: PMC11007214_01_fcvm-11-1334457-g001.jpg
case_images: F1
case_images: An emergency echocardiogram showed irregular and isoechoic mass attachment in the anterior leaflet of mitral valve, with a size of about 45 x 27 mm (Figure 1) and EF of 30%. CT examination showed multiple cerebral infarction and splenic infarction (Figure 1).
case_images: Patient's facial and lower limb skin. (A) The tip of the patient's nose and both sides of the nose are partially dark. (B) The skin on both lower limbs is swollen with a bluish color.
case_images: fcvm-11-1334457-g002.jpg
case_images: PMC11007214_01_fcvm-11-1334457-g002.jpg
case_images: F2
case_images: Additionally, she was unconscious and the tip and both sides of the nose were partially dark (Figure 2). Cardiac auscultation showed a systolic rumbling murmur in the auscultation area of the mitral valve, as well as coolness, swelling, and cyanosis of both lower limbs (Figure 2).