Infective Endocarditis Revealed by an Acute Myocardial Infarction: A Case Report
Asmaa Elamraoui, Meriem El-Mousaid, Imane Tlohi, Ghali Bennouna, Leila Azzouzi, Abdenasser Drighil, Rachida Habbal
Asian Journal of Cardiology Research · pp. 47–51 · Published 15 Feb 2023
Abstract
Acute myocardial infarction caused by septic embolism is usually fatal. A 43-year-old male patient presented to the emergency department with severe chest pain within 4 hours. An electrocardiogram showed prominent anterolateral ST elevation in precordial leads (V2-V6) and lateral leads (DI and aVL). His body temperature was 38.3°C. He underwent blood cultures prior to parenteral antibiotic therapy. Staphylococcus aureus has been confirmed. Coronary angiography was performed and revealed a septic embolism in the distal left circumflex artery. Transthoracic echocardiography showed. migratory vegetation on the mitral valve. After 6 weeks of antibiotic therapy, he was completely cured and discharged. He was readmitted 6 months later and died of complications of recurrent infective endocarditis.
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