Figure 4: Transthoracic echocardiogram performed after 2 weeks of intravenous antifungal therapy with fluconazole, in addition to antibiotic therapy with vancomycin and ceftriaxone. Four apical chamber section. Reduction in the size and increased echogenicity of endocardial vegetation, partially calcified, pedunculated, and no longer prolapsing into the inflow tract of the left ventricle