case_images: PMC7086409_01
case_images: Showing the petechial rash on the anterior aspect of the lower extremity.
case_images: CRIID2020-5314503.001.jpg
case_images: PMC7086409_01_CRIID2020-5314503.001.jpg
case_images: fig1
case_images: There was an erythematous petechial rash with crust present on the anterior aspect of his left lower extremity (Figure 1).
case_images: This demonstrates a transesophageal echocardiogram for evaluation of endocarditis. (a): Mid esophageal view showing a large vegetation on the anterior leaflet of the mitral valve. The color doppler shows severe aortic regurgitation jet towards the anterior mitral leaftet. (b): Mid esophageal long axis view demonstrating severe mitral regurgitation. (c): Mobile echo density on the atria aspect of the mitral valve. (d): Aortic valve is found to be a bicuspid valve associated with severe aortic regurgitation.
case_images: CRIID2020-5314503.002.jpg
case_images: PMC7086409_01_CRIID2020-5314503.002.jpg
case_images: fig2
case_images: Ultimately, a transesophageal echocardiogram performed showed normal left ventricular systolic function and a large vegetation on the anterior leaflet of the mitral valve with associated severe aortic and mitral regurgitation (Figure 2).