A 26-Year-Old Man Is Hospitalized for Fevers and Chills

A 26-year-old man is hospitalized for fevers and chills.  Blood cultures grow gram-positive cocci in clusters.  Chest examination is unremarkable.  Echocardiogram shows a mobile density on the posterior mitral leaflet but is otherwise unremarkable.  On the third day of hospitalization, the patient exhibits shortness of breath and an inability to lie flat.  On examination, bibasilar crackles are present.  A 2/6 holosystolic murmur is heard at the apex.  Which of the following is likely to be present on repeat echocardiogram?

A) A
B) B
C) C
D) D

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free