PMC3271682_01
(a) 2D echo PLAX view showing subaortic membrane with marked left ventricular hypertrophy and mild pericardial effusion; (b) 2D echo PLAX view showing vegetation on anterior mitral leaflet, measuring 10 x 6 mm
JCDR-3-43-g001.jpg
PMC3271682_01_JCDR-3-43-g001.jpg
F1
Three sets of blood culture including anaerobic culture were drawn 1 hour apart and they revealed no organism growth after an incubation period of 7 days. 2D echocardiography revealed subaortic membrane causing severe obstruction of left ventricular outflow tract (LVOT) [Figure 1a] with RSOV into right ventricle, with vegetations seen over mitral and aortic valves [Figure 1b].
MRI brain axial section showing hypointense signal intensity alteration on T1WI (a) and hyperintense on T2 FLAIR (b) in left parietal region, suggestive of acute infarct. There is also perilesional edema
JCDR-3-43-g002.jpg
PMC3271682_01_JCDR-3-43-g002.jpg
F2
The patient was started on empirical regimen of intravenous antibiotics [Figure 2a and b].