case_images: PMC8683463_01
case_images: clinical case 1; A) transthoracic echocardiography five chamber view showing a vegetation in the aortic valve (arrow); (B,C,D) transesophageal echocardiography showing abscess in aortic root (star) with Doppler signal showing aorta regurgitation
case_images: PAMJ-40-152-g001.jpg
case_images: PMC8683463_01_PAMJ-40-152-g001.jpg
case_images: F1
case_images: The pulmonary computed tomography (CT) scan showed cardiomegaly with bilateral central and peripheral ground-glass lesions (Figure 1). Echocardiography showed a vegetation in the aortic valve, with significant aortic regurgitation and a detergent abscess at the aortic root (Figure 1), with a small residual ventricular septal defect.
case_images: PMC8683463_02
case_images: clinical case 2; A) chest X-ray showed a bilateral diffuse alveolar syndrome and cardiomegaly; B) thoracic CT scan a cardiomegaly with the presence of peripheral, central and bilateral ground glass lesion; C) transthoracic echocardiogram: parasternal long axe view showing a vegetation in the aortic and mitral valve (arrows); D) Doppler signal showing mitral regurgitation
case_images: PAMJ-40-152-g002.jpg
case_images: PMC8683463_02_PAMJ-40-152-g002.jpg
case_images: F2
case_images: On echocardiography, there were mitroaortic vegetations with aortic and mitral regurgitation (Figure 2).