case_images: PMC11222609_01
case_images: The development process of cardiac vegetations (denoted by white arrow). (A) Shows the initial discovery of the aortic valve vegetation and (B) shows what it looks like before surgery.
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case_images: F1
case_images: Cardiac ultrasound (Figure 1A) identified a 28 x 14 mm isoechoic mass attached to the left coronary leaflet of the aortic valve swinging with the cardiac cycle (entering the aorta in systole and the left ventricle in diastole) and moderate aortic valve insufficiency. On March 29 (day 38 of admission), cardiac ultrasound showed that the echo mass of the aortic valve was approximately 25 x 14 mm (Figure 1B), slightly smaller the initially evaluated.
case_images: The development process of splenic abscess(denoted by white arrow). (A-C) Represent respectively the morphology of the splenic abscess when it is found at first, before surgery, and before discharge.
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case_images: F2
case_images: Abdominal ultrasound (Figure 2A) showed multiple cystic solid masses in the spleen measuring approximately 39 x 23 mm and 31 x 19 mm, which were considered to be splenic abscesses. Abdominal ultrasound showed several hypoechoic masses in the spleen, the largest of which was approximately 48 x 43 mm (Figure 2B). April 20, the abdominal ultrasound revealed multiple low-density lesions in the spleen, with the largest being 32 x 20 mm (Figure 2C), which is considerably less than the original assessment.
case_images: The development process of brain abscess (denoted by white arrow). (A-D) Show the changes of brain abscess throughout the course of the disease separately.
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case_images: F3
case_images: Brain MRI (Figure 3A/B) showed an abnormal enhancement lesion in the left occipital lobe with a large oedema zone around it, and a small abscess was initially considered. A review of the cranial MRI (Figure 3C) showed an abnormal enhancement lesion (2.72 x 3.92 mm) in the left occipital lobe, which was smaller than the anterior one. The abnormal enhancement lesion in the left occipital lobe (Figure 3D) was smaller (1.91 x 0.5 mm) than the anterior imaging.
case_images: Detailed treatment schedule.
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case_images: F4
case_images: April 28th, day 68 of admission, marked the patient's final discharge. A figure (Figure 4) was added to display the timetable and relevant information from the patients' thorough therapy.