PMC7195636_01
Admission ECG showing a third-degree heart block with a wide complex escape rhythm, right bundle branch block, left anterior fascicular block, and left ventricular hypertrophy.
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fig1
An electrocardiogram revealed a third-degree heart block with a wide complex escape rhythm (Figure 1).
Aortic valve (a) with mobile echodensity (b) on the ventricular aspect of the right coronary cusp.
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The TEE revealed a mobile echodensity seen on the ventricular aspect of the right coronary cusp of the aortic valve with severe AR and a mobile echodensity on the atrial aspect of the mitral valve with moderate mitral regurgitation (Figures 2 and 3).
Mitral valve (a) with a mobile echodensity (b) on the atrial aspect of the valve.
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fig3
The TEE revealed a mobile echodensity seen on the ventricular aspect of the right coronary cusp of the aortic valve with severe AR and a mobile echodensity on the atrial aspect of the mitral valve with moderate mitral regurgitation (Figures 2 and 3).
PMC7195636_02
Chest X-ray images of the confluent opacity at the left lower hemithorax. Frontal view (a) and lateral view (b).
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fig4
A chest radiograph demonstrated an opacity in the left lower lobe consistent with consolidation suggestive of pneumonia (Figure 4).
Chest CT images of the multiloculated empyema. Coronal view (a), sagittal view (b), and axial view (c).
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fig5
A computed tomogram of the chest performed the next day demonstrated a large multiloculated pleural effusion in the left lung with collapse of the left upper lobe (Figure 5).
Chest X-ray images of the improvement of the opacity at the left lower hemithorax at week 3 of intravenous ertapenem therapy. Frontal view (a) and lateral view (b).
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fig6
The patient did well, and repeat chest radiograph after three weeks of intravenous therapy demonstrated improvement of the previously seen pleural and parenchymal opacity at the left lung base (Figure 6).