case_images: PMC8209631_01
case_images: Intra-operative photograph of aortic valve taken from surgeons view. LCC, left coronary cusp. NCC, non coronary cusp. Photograph courtesy of Mr Gwyn Beattie, Consultant Cardiothoracic Surgeon, Royal Victoria Hospital, Belfast.
case_images: acmi-3-0235-g001.jpg
case_images: PMC8209631_01_acmi-3-0235-g001.jpg
case_images: F1
case_images: She was transferred to cardiac surgery on day 4 of admission and underwent aortic valve replacement surgery (Fig. 1).
case_images: Gram stain of 
  C. canimorsus
  . Courtesy of Dr Peter Yew, Consultant Medical Microbiologist, Ulster Hospital, Dundonald, Belfast.
case_images: acmi-3-0235-g002.jpg
case_images: PMC8209631_01_acmi-3-0235-g002.jpg
case_images: F2
case_images: Gram stain (Fig. 2). Given this information, the patient's antibiotics were changed to ceftriaxone, vancomycin and gentamicin, whilst waiting for culture and identification of this organism.