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Images in cardiology
Cardiac computed tomography in endocarditis
  1. Harendra Wijesekera,
  2. Sujith Seneviratne,
  3. Ian Woolley
  1. Monash Medical Center, Clayton, Australia
  1. Correspondence to Sujith Seneviratne; sujith.seneviratne{at}southernhealth.org.au

http://dx.doi.org/10.1136/hrt.2010.202754

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    A 59-year-old man with prosthetic mitral and aortic valves and an implantable cardioverter-defibrillator presented with a 1-month history of malaise and fever.

    On presentation, the patient was febrile (38.5°C) with evidence of decompensated heart failure. The diagnosis of endocarditis was established as blood cultures grew streptococcus anginosus, and a transoesophageal echocardiogram on the second day of admission showed an 8 mm aortic valve vegetation and pacing …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; not externally peer reviewed.