A coal miner with weakness, fatigue, nausea, fever, chills, night sweats and dyspnea


Figure 1. Aortic valve vegetations at autopsy, 3 x 1.5 x 0.6 cm on right coronary cusp, 2.4 x 1.6 x 1.1 cm on non-coronary cusp, and 0.7 x 0.3 x 0.2 cm on left coronary cusp.