case_images: PMC7195636_01
case_images: Admission ECG showing a third-degree heart block with a wide complex escape rhythm, right bundle branch block, left anterior fascicular block, and left ventricular hypertrophy.
case_images: CRIID2020-4135246.001.jpg
case_images: PMC7195636_01_CRIID2020-4135246.001.jpg
case_images: fig1
case_images: An electrocardiogram revealed a third-degree heart block with a wide complex escape rhythm (Figure 1).
case_images: Aortic valve (a) with mobile echodensity (b) on the ventricular aspect of the right coronary cusp.
case_images: CRIID2020-4135246.002.jpg
case_images: PMC7195636_01_CRIID2020-4135246.002.jpg
case_images: fig2
case_images: The TEE revealed a mobile echodensity seen on the ventricular aspect of the right coronary cusp of the aortic valve with severe AR and a mobile echodensity on the atrial aspect of the mitral valve with moderate mitral regurgitation (Figures 2 and 3).
case_images: Mitral valve (a) with a mobile echodensity (b) on the atrial aspect of the valve.
case_images: CRIID2020-4135246.003.jpg
case_images: PMC7195636_01_CRIID2020-4135246.003.jpg
case_images: fig3
case_images: The TEE revealed a mobile echodensity seen on the ventricular aspect of the right coronary cusp of the aortic valve with severe AR and a mobile echodensity on the atrial aspect of the mitral valve with moderate mitral regurgitation (Figures 2 and 3).
case_images: PMC7195636_02
case_images: Chest X-ray images of the confluent opacity at the left lower hemithorax. Frontal view (a) and lateral view (b).
case_images: CRIID2020-4135246.004.jpg
case_images: PMC7195636_02_CRIID2020-4135246.004.jpg
case_images: fig4
case_images: A chest radiograph demonstrated an opacity in the left lower lobe consistent with consolidation suggestive of pneumonia (Figure 4).
case_images: Chest CT images of the multiloculated empyema. Coronal view (a), sagittal view (b), and axial view (c).
case_images: CRIID2020-4135246.005.jpg
case_images: PMC7195636_02_CRIID2020-4135246.005.jpg
case_images: fig5
case_images: A computed tomogram of the chest performed the next day demonstrated a large multiloculated pleural effusion in the left lung with collapse of the left upper lobe (Figure 5).
case_images: Chest X-ray images of the improvement of the opacity at the left lower hemithorax at week 3 of intravenous ertapenem therapy. Frontal view (a) and lateral view (b).
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case_images: PMC7195636_02_CRIID2020-4135246.006.jpg
case_images: fig6
case_images: The patient did well, and repeat chest radiograph after three weeks of intravenous therapy demonstrated improvement of the previously seen pleural and parenchymal opacity at the left lung base (Figure 6).