case_images: PMC11742074_01
case_images: The changes of pulmonary window on CT: (a) and (b) were pulmonary inflammatory lesions at admission and 1 week after treatment. The pulmonary inflammation was more absorbed, accompanied by pleural and pericardial effusion after treatment.
case_images: CRIID2025-7536462.001.jpg
case_images: PMC11742074_01_CRIID2025-7536462.001.jpg
case_images: fig1
case_images: Chlamydia pneumoniae, adenovirus, respiratory syncytial virus, influenza A virus, influenza B virus, and parainfluenza virus) were negative. Chest CT showed patchy increased density shadows with blurred edges in the left lung, stripe shadows in the left lung and the lower lobe of the right lung, and left pleural effusion (Figure 1).
case_images: Size change of aortic valve vegetations. (a-c) The size of vegetations was measured at admission, 1 month after treatment, and 2 months after treatment (marked with a blue entity arrow). (d) No vegetations were found in the mechanical aortic valve.
case_images: CRIID2025-7536462.002.jpg
case_images: PMC11742074_01_CRIID2025-7536462.002.jpg
case_images: fig2
case_images: September 27 (Figures 2(a) and 2(b)) revealed mechanical dysfunction of the replacement aortic valve and vegetation formation of the replacement aortic valve (0.74 x 0.79 cm light cluster echo attachment of the anterior valve annulus). Supplementary medical history of the patient's family members indicated that several chickens and ducks were raised freely in the open air at home, but no deaths were observed. On October 8, 2022, transesophageal echocardiography was performed again, and the vegetation on the aortic mechanical valve was significantly smaller than before (Figure 2(c)). The follow-up transesophageal echocardiography on January 11, 2023, revealed the disappearance of cardiac valve vegetation and the absence of new vegetation formation (Figure 2(d)).