PMC7100943_01
Postmortem evidence of nonbacterial thrombotic endocarditis symptomatology. A) Whole brain exam showing massive non-hemorrhagic infarct affecting multiple territories. B) Pulmonary hemorrhage. C) Fibrin vegetation on the aortic valve. D) Infarcts in bilateral kidneys.
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Autopsy revealed a massive non-hemorrhagic infarct involving left frontal, left parietal, and left occipital lobes of the brain resulting from an embolus originating from fibrin vegetation on the aortic valve (Figure 1A). There was pulmonary hemorrhage involving primarily the right and left lower lung lobes (Figure 1B). In addition, fibrin vegetations on the tricuspid valve were noted (Figure 1C). Multiple infarcts in the left and right kidney, as well as the spleen, were noted (Figure 1D).