Gonococcal endocarditis with aortic root abscess and severe aortic insufficiency

Penicillin-resistant gonorrheal endocarditis presenting with large annular abscess and aortic valve destruction

“…Due to progression to congestive heart failure, more than half of patients with gonococcal endocarditis require valvular surgery [ 7 ]. Interestingly, intraoperative cultures are frequently negative despite extensive infections [ 10 ].…”