case_images: PMC5822827_01
case_images: Swollen right hand with redness. This led to a diagnosis of cellulitis.
case_images: CRIID2018-4821939.001.jpg
case_images: PMC5822827_01_CRIID2018-4821939.001.jpg
case_images: fig1
case_images: Next day his whole right hand had become red and swollen, and he visited an outpatient clinic where he received wound care and antitetanus injection; he was also diagnosed with cellulitis (Figure 1) and prescribed cefuroxime 500 mg PO q12 h for 10 days with complete resolution of the swelling, However, three days after stopping cefuroxime, he developed fever as high as 39 C, accompanied with chills, rigors, and sweating, which was continuous, lasting over three weeks.
case_images: PMC5822827_02
case_images: Cardiac surgery showing a perforated aortic valve.
case_images: CRIID2018-4821939.002.jpg
case_images: PMC5822827_02_CRIID2018-4821939.002.jpg
case_images: fig2
case_images: It was noted that the left coronary cusp was perforated and destroyed by the infection with multiple vegetation threads (Figure 2).