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Fig. 3. Transthoracic echocardiography image suggesting the presence of vegetation on the prosthetic atrial valve (A). The enhanced CT scan of the abdomen shows a splenic lesion that suggests either an infarct or an abscess (B). The surgically removed prosthetic aortic valve shows the formation of a huge blackish fungal vegetation (C). MRI on day 33 (D) revealed the recurrence of new cerebral infarctions (arrows).