A 53-year-old gardener with a prosthetic aortic valve presents with sudden paralysis. Explore this case of an aortic Pseudoaneurysm and embolic event.
A 53-year-old man who worked as a gardener presented to the emergency department with sudden onset of paralysis in the lower legs. He had a 2-month history of intermittent fevers and had undergone a bioprosthetic aortic-valve replacement 6 months prior to presentation. Computed tomographic angiography showed an aortic pseudoaneurysm with emboli. An embolectomy was performed, and a histopathological analysis is as shown. Which organism was the cause of his infection?
What is the most likely diagnosis?
Aortic Pseudoaneurysm, Curvularia alcornii, Fungal Endocarditis, Prosthetic Valve Endocarditis, Septic Emboli
