case_images: PMC8565684_01
case_images: Two-dimensional echocardiographic images of large hyperechogenic structures that loosely adhere to the leaflets of the tricuspid valve and protrude in the right atrium.
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case_images: acc-07-02-40-g001
case_images: The second cardiac ultrasound, performed by a different examiner 12 hours after admission, revealed beyond the initial findings, a hyperechogenic and mobile structure linked to the leaflets of the tricuspid valve (Figure 1).
case_images: Macroscopic examination of the right heart. Large endocardial vegetations are present on the atrial aspects of the tricuspid valve leaflets
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case_images: PMC8565684_01_acc-07-02-40-g002.jpg
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case_images: The post-mortem examination revealed a normal sized heart, with massive endocardial vegetations on the leaflets of the tricuspid valve (Fig. 2) and multiple abscesses on both lungs.
case_images: Microscopic examination of the endocardial vegetations. A. Vegetation that adheres to the endocardium, represented by fibrine, erythrocytes, leukocytes and bacteria (hematoxylin-eosin, x100); B. Arrows point to existing bacilli in the vegetation and on the surface of the endocardium (hematoxylin-eosin, x400)
case_images: acc-07-02-40-g003.jpg
case_images: PMC8565684_01_acc-07-02-40-g003.jpg
case_images: acc-07-02-40-g003
case_images: The microscopical examination of cardiac tissue showed that the vegetations were made up of fibrine, blood cells and bacteria (Fig. 3).