Correct!
4. Mitral valve endocarditis
The ultrasound of the heart shows a large vegetation in the area of the mitral valve (Figures 3 and 4).
Figure 3. Parasternal long axis view shows a mass on the posterior leaflet of the mitral valve (arrow). The areas of the mitral valve (MV), left ventricle (LV), and the aortic valve (AV) are also labeled
Figure 4. The four-chamber view shows thickening of the MV and a mobile vegetation on the posterior MV leaflet (arrow). The areas of the left atrium (LA), left ventricle (LV), right atrium (RA), and right ventricle are also labeled.
The patient was treated with piperacillin/tazobactam and gentamicin, but suffered multiple embolic strokes and multisystem organ failure, and did not survive.
Robert A. Raschke, MD
Critical Care Medicine
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