Bilateral Acromioclavicular Septic Arthritis as an Initial Presentation of Streptococcus pneumoniae Endocarditis

Figure 1

Two-dimensional transesophageal echocardiogram image of the aortic valve (arrow) showing an irregular 10-mm mass is attached to the left cusp of the aortic valve with an associated perforation. LA: left atrium; LV: left ventricle; AO: ascending aorta.