PMC5742447_01
(a) There was a low-density foci with enhancement of the wall in the patient's right iliopsoas muscle, raising suspicion of iliopsoas abscess. (b) The result of chest radiography on day 3 showed severe cardiomegaly, measured as a cardiothoracic ratio of 61% with pulmonary edema.
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Contrast-enhanced computed tomography (CT) revealed a low-density mass in the iliopsoas muscle, raising suspicion of an iliopsoas abscess (Figure 1(a)). Chest X-ray revealed cardiomegaly with pulmonary edema (Figure 1(b)).
(a) In parasternal long-axis view, wall motion was normokinetic and ejection fraction was over 60%. Posterior leaflet of mitral valve (P1) had a valvular aneurysm and perforation of the valvular aneurysm. Severe mitral regurgitation is shown in color Doppler echo imaging. (b) Transesophageal echocardiography showed that posterior leaflet of mitral valve (P1) had a valvular aneurysm, with perforation of the valvular aneurysm and severe mitral regurgitation, but did not have vegetation or abscess of the mitral valve annulus.
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Color Doppler echocardiography revealed severe mitral regurgitation (Figure 2(a)). Subsequent transesophageal echocardiography notably failed to show any obvious vegetation or abscess of the mitral valve annulus (Figure 2(b)).