PMC9051968_01
Bottom arrow (bigger) showing vegetation on left coronary cusp of the aortic valve. Top arrow (smaller) showing echogenic mobile density on the left pulmonic valve leaflet.
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Transthoracic echocardiogram (TTE) demonstrated a possible mass on the left coronary cusp of the aortic valve and echogenic mobile density on the left pulmonic valve leaflet consistent with vegetation (Fig. 1, Fig. 2).
Blood cultures with sensitivities.
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Her antibiotic regimen was switched from Meropenem to Cefepime and was later deescalated to Ceftriaxone based on culture sensitivities (Fig. 3).