PMC3035002_01
A 12-lead electro cardiogram showing ST elevations in lead II, III, AVF, V5,  and V6.
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fig1
A 12-lead electrocardiogram showed ST elevation in inferior leads, V5 and V6 (Figure 1).  Laboratory tests showed an elevated Troponin I with a peak value of 6.9 ng/mL (normal value  <0.4 ng/mL) and normal blood cultures.
A transesophageal echocardiogram showing vegetation on the mitral valve.
CRP2011-950483.002.jpg
PMC3035002_01_CRP2011-950483.002.jpg
fig2
A transesophageal echocardiogram showed vegetations on mitral and aortic valves, mitral regurgitation, with normal left ventricular systolic function (Figure 2).  CT scan showed multiple infarcts in lungs, spleen, and kidneys.