case_images: PMC11813253_01
case_images: Computed tomographic pulmonary images.. (A) On hospital admission, with small ground glass areas bilaterally (blue arrows). (B and C) On day three after hospital admission, showing bilateral areas of consolidation and cavitation in the right upper lobe (red arrow).
case_images: cureus-0017-00000077335-i01.jpg
case_images: PMC11813253_01_cureus-0017-00000077335-i01.jpg
case_images: FIG1
case_images: A cerebral computed tomography (CT) scan showed no alterations, but a thoracic CT scan revealed mild spots with ground glass patterns in the middle, lingula, and right lower lobes (Figure 1).
case_images: Pulmonary valve vegetation on echocardiography.. (A and B) Transesophageal echocardiography revealing pulmonary valve vegetation (red circle) with approximately 20 mm diameter. (C) Transthoracic echocardiography documenting significant pulmonary valve regurgitation with color Doppler. (D) Right ventricle dilation with peak systolic transtricuspid pressure gradient of 45 mmHg.
case_images: cureus-0017-00000077335-i02.jpg
case_images: PMC11813253_01_cureus-0017-00000077335-i02.jpg
case_images: FIG2
case_images: TEE identified an isolated pulmonary valve vegetation measuring 20 x 18 mm (Figure 2) causing severe pulmonary valve insufficiency and right ventricle dilation.
case_images: Temporal evolution of lung CT scans showing progression of pulmonary consolidations.. (A-D) Day nine after admission. (E-G) Day 18 after admission. Yellow arrows indicate multiple septic consolidations, with some nodular cavitations and the red arrow indicates a filling defect of the middle lobar artery.
case_images: cureus-0017-00000077335-i03.jpg
case_images: PMC11813253_01_cureus-0017-00000077335-i03.jpg
case_images: FIG3
case_images: A subsequent chest CT angiography revealed an increase in the number of pulmonary parenchymal opacities and pulmonary embolism (Figure 3).
case_images: Timeline summarizing the main events during the hospital stay, the antibiotics administered during the first 30 days, and the blood cultures collected during this period.. ESBL: extended-spectrum beta-lactamase; MSSA: methicillin-susceptible Staphylococcus aureus.
case_images: cureus-0017-00000077335-i04.jpg
case_images: PMC11813253_01_cureus-0017-00000077335-i04.jpg
case_images: FIG4