case_images: PMC11265217_01
case_images: Timelines of body temperature and antibiotic therapies before admission.
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case_images: A 40-year-old Chinese female came to our tertiary hospital with a chief complaint of intermittent fever for 45 days, with detailed timelines before admission shown in Figure 1.
case_images: Transthoracic and transesophageal echocardiography of the patient.
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case_images: Transthoracic echocardiography showed significant prosthetic aortic valve stenosis with mild regurgitation. Transesophageal echocardiography (TEE) indicated a 3-millimeter vegetation attached to the prosthetic valve, as shown in Figure 2.   After 6 weeks of antibiotic therapies, repeated TEE showed the vegetation was smaller in a narrow base with a length of 5 mm (Figure 2).
case_images: Timelines of daily body temperature, inflammatory markers, and antibiotic therapies after admission.
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case_images: After antibiotic therapies, the patient's temperature went back to normal (Figure 3). Due to fluctuations in body temperature and inflammatory markers (Figure 3), antibiotics were switched to teicoplanin 800 mg per day and levofloxacin 750 mg per day for 2 weeks, and meropenem 1 g q6h for another 2 weeks.
case_images: Tender red papules found during hospitalization.
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case_images: During the third week of hospitalization, the patient had a low-grade fever of 37.5  C, and multiple tender red papules appeared on the finger, forearm and lower extremity (Figure 4).