PMC8577494_01
CT Chest/Abdomen/Pelvis revealing distended stomach (red arrow) and proximal duodenum, consistent with SMA syndrome. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
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CT scan of the abdomen and pelvis revealed cardiomegaly, enterocolitis and a distended stomach and proximal duodenum (Fig. 1).
Gastric biopsy pathology slide revealing Strongyloides stercoralis larvae (see red asterisks). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
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Finally, pathology from endoscopic biopsies returned, revealing S. stercoralis in the stomach and duodenum (Fig. 2).
Transthoracic echocardiogram parasternal long axis view with sterile mitral valve vegetations (red arrow) suggestive of Loeffler's endocarditis. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
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Transthoracic echocardiogram demonstrated vegetations up to 1.3 cm in size involving the tricuspid, aortic and mitral valves, suspicious for Loeffler's endocarditis given her biopsy results and negative repeat blood cultures (Fig. 3).