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Transthoracic echocardiography reveals a 12 x 10-mm vegetation on the aortic valve (arrow).
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Transthoracic echocardiography revealed a 12 x 10-mm vegetation on the aortic valve and severe aortic regurgitation (Fig. 1).
A. The resected aortic valve revealed a bicuspid valve (fusion of the right and left coronary cusps), which was ruptured by the vegetation. B. Gram staining of the resected specimen reveals Gram-positive cocci (x1000).
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The resected aortic valve was bicuspid (fusion of the right and left coronary cusps), and both leaflets of the bicuspid aortic valve (BAV) were ruptured by the vegetation (Fig. 2a). Gram staining of the resected valve revealed Gram-positive cocci (Fig. 2b), although no organisms were found in the tissue culture.
Short-tau inversion-recovery (STIR) T2-weighted magnetic resonance imaging reveals high signal intensity in the L5 and S1 vertebrae and the L5-S1 disc space (arrow).
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Magnetic resonance imaging on day 8 also revealed spondylodiscitis in the L5 and S1 vertebrae and in the L5-S1 disc space (Fig. 3).