PMC8209631_01
Intra-operative photograph of aortic valve taken from surgeons view. LCC, left coronary cusp. NCC, non coronary cusp. Photograph courtesy of Mr Gwyn Beattie, Consultant Cardiothoracic Surgeon, Royal Victoria Hospital, Belfast.
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F1
She was transferred to cardiac surgery on day 4 of admission and underwent aortic valve replacement surgery (Fig. 1).
Gram stain of 
C. canimorsus
. Courtesy of Dr Peter Yew, Consultant Medical Microbiologist, Ulster Hospital, Dundonald, Belfast.
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F2
Gram stain (Fig. 2). Given this information, the patient's antibiotics were changed to ceftriaxone, vancomycin and gentamicin, whilst waiting for culture and identification of this organism.