case_images: PMC4353269_01
case_images: A
  Focal area of induration on dorsum of left foot.
  B
  Transesophageal echocardiogram (parasternal short axis view) demonstrating a bicuspid aortic valve with a large vegetation.
  C
  Gram stain of blood culture demonstrating Gram-negative bacilli consistent with Cardiobacterium hominis. D
  Etest (bioMerieux Canada, Inc) results for ceftriaxone with a double zone of inhibition at a minimum inhibitory concentration of 0.023 mug/mL and 16 mug/mL. Bacteria within the intermediate zone of inhibition could not be cultured
case_images: idmm-26-41-1.jpg
case_images: PMC4353269_01_idmm-26-41-1.jpg
case_images: f1-idmm-26-41
case_images: There was a tender area of induration on the palm of his left hand and the dorsum of his left foot (Figure 1A), but no erythema nodosum.