Infective endocarditis of an aortic intimal flap due to S treptococcus agalactiae in a patient with S jögren's syndrome: an unusual clinical case report

A 67‐year‐old woman, suffering from S jögren's syndrome, was admitted for septic asymmetric arthritis due to S treptococcus agalactiae . She had previously undergone a replacement of the ascending aorta (type A acute aortic dissection). A transthoracic and transesophageal echocardiography showed small pseudoaneurysm of the sino‐tubular junction and vegetations attached both to the aortic cusps and to a residual intimal flap near the proximal edge of the vascular prosthesis. A 18 F ‐ FDG PET / CT scan confirmed the diagnosis.