REFERENCES
1. Osterlund A, Nordlund E. Wound infection caused by Staphylococcus hyicus subspecies hyicus after a donkey bite. Scand J Infect Dis. 1997;29(1):95.
2. Casanova C, Iselin L, von Steiger N, Droz S, Sendi P. Staphylococcus hyicus bacteremia in a farmer. J Clin Microbiol. 2011;49(12):4377-8.
3. Foissac M, Lekaditi M, Loutfi B, Ehrhart A, Dauchy FA. Spondylodiscitis and bacteremia due to Staphylococcus hyicus in an immunocompetent man. Germs. 2016;6(3):106-10.
4. Adkins PRF, Middleton JR, Calcutt MJ, Stewart GC, Fox LK. Species Identification and Strain Typing of Staphylococcus agnetis and Staphylococcus hyicus Isolates from Bovine Milk by Use of a Novel Multiplex PCR Assay and Pulsed-Field Gel Electrophoresis. J Clin Microbiol. 2017;55(6):1778-88.
5. Pressman GS, Rodriguez-Ziccardi M, Gartman CH, Obasare E, Melendres E, Arguello V, et al. Mitral Annular Calcification as a Possible Nidus for Endocarditis: A Descriptive Series with Bacteriological Differences Noted. J Am Soc Echocardiogr. 2017;30(6):572-8.
Figure 1: Figure 1A and 1B- illustrate appearance of the lesion on TTE
Figure IC- extensive mitral annular calcification demonstrated on CT.
Figure 2: The necrotic mitral annulus, The forceps show the friable fibrinous vegetation, in continuation with the annulus.