A 28-year-old patient was diagnosed with headache and S Fever with the suspected diagnosis of "meningitis" recorded in the emergency room. Vital parameters on admission: RR 110/75 mm Hg, HR 125 / min, temperature 38.5 ° C. The skin changes shown were shown in the clinical examination. In the transesophageal echocardiography that was performed immediately, thread-like vegetation on the aortic valve was shown. Laboratory tests showed: leukocytes 14,900 / µL, platelets 30,000 / µL and CRP 147 mg / L (N:
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