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A 53-year-old woman with a history of ventricular ectopic ablation was admitted with weight loss, sweats and low grade fever and was found to have severe aortic incompetence and a dilated left ventricular cavity (6.1 cm) on transthoracic echocardiography (figure 1). No vegetations were seen on transoesophageal echocardiography and sequential blood cultures were negative. Despite extensive investigation she continued to deteriorate clinically and had a persistently elevated C reactive protein and erythrocyte sedimentation rate at 300 mg/l and 108 mm/h respectively. A positron emission tomography (PET)-CT scan with 18F-fluorodeoxyglucose (FDG) …
Contributors MSR: patient care, prepared manuscript and images. NS: patient care, literature search. LJA: in charge of patient care, final editing of manuscript.
Competing interests None.
Patient consent Obtained.
Ethics approval Informed written consent was obtained from the patient and submitted with the manuscript.
Provenance and peer review Not commissioned; internally peer reviewed.
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