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Circulation: Cardiovascular Imaging CARDIOVASCULAR IMAGES A Surprising Link to Bread Flour With Collateral Damage to a Prosthetic Heart Valve 40-year-old woman with a long history of intravenous drug abuse was re- Piergiorgio Tozzi , MD ferred for a suspicion of prosthetic valve endocarditis (PVE). She underwent Eleftheria Evdokia A a first aortic valve replacement after Enterococcus faecalis endocarditis 14 Kampouri, MD years earlier and a second replacement associated to ascending aorta replacement Georgios Tzimas, MD after a recurrent PVE caused by concomitant infection of Proteus mirabilis and As- John O. Prior, MD pergillus niger 2 years earlier. She received a 6-month treatment course of isavucon- Pierre Monney, MD azole 200 mg/day after surgery. Due to her history of PVE with A niger, an imaging Christel Kamani, MD 18 18 follow-up with F-fluodeoxyglucose ( F-FDG) positron emission tomography (PET)/ Frederic Lamoth, MD computed tomography (CT) was decided, to monitor for PVE recurrence. At admission, the patient was apyretic (36.7°C) and asymptomatic; blood pres- sure was 95/67 and pulse was 87/minute regular. A Levin III/VI systolic ejection murmur was audible at the intravenous intercostal space of the left sternal border. The blood test revealed slightly raised white blood cell count and
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Oct 21, 2020
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