A 29-year-old female with a past medical history significant for intravenous drug abuse (IVDA), presented to the emergency room with complaints of fever, chills and shortness of breath. On initial assessment, patient was febrile (38.3 °C/101 F) and tachycardic (110/min). Auscultation revealed a pansystolic murmur most prominent at the right fourth intercostal space. Transoesophageal echocardiography (TEE) was done considering her high-risk behaviour and cardiac findings (Fig. 1). What is the diagnosis?
Fig. 1
TEE (transoesophageal echocardiography) with a 4 chamber view
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Answer
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Conflict of interest
K.K. Sahu, A. Doshi, A.K. Mishra and M. Kranis declare that they have no competing interests.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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