case_images: PMC10573562_01
case_images: Transthoracic echocardiography of trivalvular vegetation. Vegetations observed on transesophageal echocardiography were as follows: (A) tricuspid valve (16 x 8.1 mm), (B) mitral valve (13.6 x 8.0 mm), and (C) aortic valve (18.3 x 4.7 mm).
case_images: mdcvj-19-1-1277-g1.jpg
case_images: PMC10573562_01_mdcvj-19-1-1277-g1.jpg
case_images: F1
case_images: A transthoracic echocardiogram (TTE) identified vegetations on the aortic, mitral, and tricuspid valves (Figure 1) and revealed moderate tricuspid valve regurgitation and mild aortic valve regurgitation.
case_images: Brain and spinal cord infarctions and abscess. (A) Magnetic resonance (MRI) of brain with and without (w/wo) contrast with left and right middle cerebral artery infracts and (B) L spine MRI showing L5-S1 discitis-osteomyelitis with intramuscular paraspinal abscess at the L5 and S1 levels.
case_images: mdcvj-19-1-1277-g2.jpg
case_images: PMC10573562_01_mdcvj-19-1-1277-g2.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) of the lumbar spine revealed evidence of vertebral osteomyelitis and extensive intramuscular paraspinal abscesses at the L5 - S1 levels (Figure 2). MRI of the brain showed multiple areas of acute infarction involving the left anterior cerebral, left middle cerebral, and right middle cerebral arterial territories (Figure 2).