Case Report
A 34-year-old woman with a two-week history of fever presented to the
emergency department because of sudden-onset mild right hemiparesis and
dysarthria. Computed tomography scan demonstrated a left thalamic
stroke. Her symptoms rapidly resolved, thus intravenous thrombolysis was
not prescribed. Blood tests revealed leukocytosis and elevated
C-reactive protein levels. Cardiac systolic murmur was patent, and
transthoracic echocardiography (TTE) showed an UAV with moderate aortic
stenosis without regurgitation or aortic dilation. An irregular vibrated
mass was also identified and transesophageal echocardiography (TEE)
confirmed the presence of 6x8-mm vegetation attached to the aortic valve
(Figure 1A; arrows). Blood cultures showed Staphylococcus
epidermidis, supporting a diagnosis of infective endocarditis (IE). The patient was discharged
after finishing the antibiotic therapy.