PMC9894501_01
Transthoracic echocardiogram (TTE). In the left image, TTE shows a biological aortic valve with vegetation of 19 mm (yellow arrow) and an abscess on the mitral-aortic intervalvular fibrosa measuring 19x10 mm (white arrow).. In the right image, TTE after biological valve replacement shows moderate intra and periprosthetic dysfunction on the aortic valve (yellow arrow).
cureus-0015-00000033312-i01.jpg
PMC9894501_01_cureus-0015-00000033312-i01.jpg
FIG1
Due to the likelihood of endocarditis, the patient underwent transesophageal echocardiography (TEE), which showed a pediculated mass of 17 mm in the arterial phase of the non-coronary cuspid and an abscess on the mitral-aortic intervalvular fibrosa measuring 19 x 10 mm (Figure 1).
Cerebral magnetic resonance images. Images A and B: Arrowheads pointing to a cortical lesion on the superior left frontal gyrus with a hypersignal in the T2 sequence with peripheral enhancement.
Image C: Arrowhead pointing to a cortical lesion on the superior left frontal gyrus with restricted diffusion.
cureus-0015-00000033312-i02.jpg
PMC9894501_01_cureus-0015-00000033312-i02.jpg
FIG2
TTE ascertaining a dysfunction of the valve with moderate intra- and periprosthetic dysfunction with a maintained biventricular ejection fraction. The patient remained stable and maintained antifungal therapy; however, due to fluctuating neurological deficits, a cerebral MRI was repeated, showing a 17 x 13 x 10 mm abscess on the left frontal (Figure 2).