Massive pulmonary embolism in a patient with Streptococcus agalactiae tricuspid valve endocarditis

A 19 year old, previously healthy, woman was admitted with complaints of generalised fatigue, chills, and signs of septic shock. There was no history of alcohol or intravenous drug abuse. A chest computed tomographic scan visualised two areas of infarction in the right lung. These findings prompted an echocardiographic examination, which demonstrated a large (6 × …