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.