case_images: PMC9669447_01
case_images: Timeline from admission for the primary aortic valve replacement until microbial diagnosis by 16S rRNA sequencing of valve material.
case_images: fmed-09-1055465-g001.jpg
case_images: PMC9669447_01_fmed-09-1055465-g001.jpg
case_images: F1
case_images: The further disease course, diagnostics and treatment in this case is illustrated in the timeline of Figure 1.
case_images: Pre-operative transesophageal echocardiogram. Severe aortic regurgitation and thickened aortic wall.
case_images: fmed-09-1055465-g002.jpg
case_images: PMC9669447_01_fmed-09-1055465-g002.jpg
case_images: F2
case_images: Finally, transesophageal echocardiogram was performed Day 86, showing pendulating material at the ventricular side of the aortic valve cusps, consistent with endocarditis (Figure 2).
case_images: Excised valve material, acridin stain. Rods marked by white arrows.
case_images: fmed-09-1055465-g003.jpg
case_images: PMC9669447_01_fmed-09-1055465-g003.jpg
case_images: F3
case_images: Microscopy of acridin stained excised valve material demonstrated scarcely distributed rods (Figure 3), but culture of the explant on standard bacterial and fungal media did not yield growth.