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. 2016 Aug 1;4(1):119–122. doi: 10.1002/ams2.234

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© 2016 The Authors Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

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Imaging and histological findings of Case 2, a 40‐year‐old woman with unilateral pulmonary edema. A, Anteroposterior chest radiograph shows left‐side limited infiltrates without cardiomegaly. B, Transthoracic echocardiography shows mitral valve prolapse (arrow). C, Color Doppler transthoracic echocardiography reveals mitral valve prolapse with severe regurgitation and the regurgitant jet tending to blow leftward within the left atrium. D, Histological findings reveal inflammatory cells and fibrin deposition in the mitral valve, and vegetation with Gram‐positive cocci infiltration (arrow). LA, left atrium; LV, left ventricle; RV, right ventricle.