PMC7492106_01
Initial views of the left eye.
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A physical examination showed a bloodshot conjunctiva, turbid cornea (Fig. 1), good oral hygiene, no rales, and no murmurs.
View of the left eye on the fourth day after admission. The fusion on the cornea progressed.
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On the fourth day after admission, the patient underwent removal of the left eye because the fusion on the cornea progressed (Fig. 2).
Clinical course. Progression of the inflammatory reaction and body temperature is shown.
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His general condition improved after ABPC administration (Fig. 3).
Transesophageal echocardiography performed on day 12 after admission. The arrows show noncoronary cusp (NCC) valve prolapse.
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On day 12 after admission, transesophageal echocardiography did not reveal vegetation, however, noncoronary cusp (NCC) valve prolapse was observed (Fig. 4); therefore, IE was suspected.
Transesophageal echocardiography performed on day 31 after admission. The arrows show vegetation, however, this structure that was presumed to be vegetation was actually a destroyed NCC valve tip.
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Thirty-one days after admission, we performed transesophageal echocardiography again and confirmed the presence of severe aortic regurgitation and vegetation (Fig. 5).
The arrow shows that there was a hole in an aortic valve.
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We performed aortic valve replacement and noted that the NCC valve tip was destroyed, and we saw a hole at the intercoronary (right coronary-left coronary) commissure (Fig. 6, 7).
The removed aortic valve observed from the left ventricular side. A hole could be seen.
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We performed aortic valve replacement and noted that the NCC valve tip was destroyed, and we saw a hole at the intercoronary (right coronary-left coronary) commissure (Fig. 6, 7).