PMC6676006_01
a) TTE parasternal long axis view on Day 5 demonstrating thickened mitral valve leaflets. b) TTE parasternal long axis view on Day 10 demonstrating a vegetation on the mitral valve.
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Trans-thoracic echocardiography (TTE) showed normal left ventricular function, normal ejection function, reduced respiratory variation of the inferior vena cava consistent with a volume overloaded state, posterior mitral leaflet prolapse, moderate thickening of the mitral valve leaflets, moderate mitral regurgitation, but no vegetation, as shown in Fig. 1a. A repeat TTE on day 10 (Fig. 1b) then revealed a vegetation on the mitral valve measuring 1.4 x 1.3 x 0.8 cm.
a) MRI of the brain axial view showing lesions in the bilateral frontoparietal regions. b) MRI of the brain axial view showing a lesion in the left occipital lobe.
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MRI of the brain (Fig. 2a and b) showed multiple subcentimeter foci within the bilateral frontoparietal regions, left occipital lobe, and bilateral cerebellar hemispheres consistent with septic emboli and thromboembolic infarcts.