Table 1 Timeline of the patient’s course

D 14 (two weeks before)

Fever and deterioration of the general condition

D 0 (day of hospitalization)

Ischemic stroke

Computed tomography of the brain: acute left temporal lobe stroke

D 1

Transthoracic echocardiography: several vegetations on aortic cusps with severe aortic regurgitation

Blood cultures: negatives

Start of antibiotic therapy (Ampicillin-Gentamicin)

D 5

oral examination: normal

ENT examination: normal

D 6

Abdominal ultrasound: normal

D 7

Blood cultures: positives (Staphylococcus hominis)

D 12

Start of Vancomycin and stop of Ampicillin

D 14

Stop of Gentamicin

D 25

Transthoracic echocardiography: mobile vegetations and several periannular aortic abscesses and an abscess of the anterior mitral leaflet

D 28

Surgery: aortic valve replacement, mitral valvuloplasty and tricuspid annuloplasty

D 38

Transthoracic echocardiography: good

D 59

Cardiac arrhythmias

D 60

Transthoracic echocardiography and computed tomography angiography of the chest: left ventricular pseudoaneurysm

D 66

Surgery: excision of the left ventricular pseudoaneurysm and direct closure

D 79

Stop Vancomycin

Patient discharge