Westmead Hospital

  • 67-year-old male, one day post AVR for aortic valve endocarditis following MSSA bacteraemia also resulting in cerebral emboli and multiple infarcts; splenic abscess requiring splenectomy; and septic arthritis. Physical signs included embolic phenomena, signs of lateral medullary syndrome, swollen left knee, laparotomy scar and signs of recent cardiac surgery.