A 26-year-old female presented with 4 weeks of intermittent fever. Physical examination was notable for a diastolic murmur over the left sternal edge. Blood cultures were positive for Streptococcus anginosus. Transthoracic echocardiography demonstrated a mildly dilated left ventricle (LV) with normal function and a markedly dilated right coronary artery (RCA) fistula that enters the basal inferior LV (Panel A) with turbulent Doppler flow across the mitral valve (MV) leaflets. Transoesophageal echocardiography highlighted the severely dilated RCA (Panel C) and revealed a strand-like echodensity associated with the posterior MV leaflet tip, consistent with infective endocarditis (IE). Persistent turbulent flow may have cause scarring and eventual nidus for IE. The patient was treated with intravenous penicillin.
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Publication date: Available online 4 January 2018 Source: European Journal of Radiology Author(s): Peiyao Zhang, Jing Wang, Qin Xu, Zhen...
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Dtsch med Wochenschr DOI: 10.1055/s-0043-100054 Hintergrund und Fragestellung Ein etablierter Weg, die optimale Behandlung von Tumorpatien...
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BACKGROUND AND PURPOSE: Dengue is a common arboviral disease, which uncommonly involves the brain. There has been a recent surge in dengu...
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Abstract Limited memory size is considered as a major bottleneck in data centers for intelligent urban computing. It is shown that there e...
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Vol.36 No.6 from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/1k8FKtW via IFTTT
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Linked Article: Maintz et al. Br J Dermatol 2017; 176:481–487 . from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader h...
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