Infective Endocarditis Revealed by an Acute Myocardial Infarction: A Case Report
Published: 2023-02-15
Page: 47-51
Issue: 2023 - Volume 6 [Issue 1]
Asmaa Elamraoui *
Service de Cardiologie, CHU Ibn Rochd, Casablanca, Morocco and Department of Cardiology, CHU Ibn Rochd, N°1 quartier des Hopitaux, 24200, Casablanca, Morocco.
Meriem El-Mousaid
Service de Cardiologie, CHU Ibn Rochd, Casablanca, Moroccoa and Department of Cardiology, CHU Ibn Rochd, N°1 quartier des Hopitaux, 24200, Casablanca, Morocco.
Imane Tlohi
Department of Cardiology, CHU Ibn Rochd, N°1 quartier des Hopitaux, 24200, Casablanca, Morocco.
Ghali Bennouna
Department of Cardiology, CHU Ibn Rochd, N°1 quartier des Hopitaux, 24200, Casablanca, Morocco.
Leila Azzouzi
Service de Cardiologie, CHU Ibn Rochd, Casablanca, Morocco and Department of Cardiology, CHU Ibn Rochd, N°1 quartier des Hopitaux, 24200, Casablanca, Morocco.
Abdenasser Drighil
Service de Cardiologie, CHU Ibn Rochd, Casablanca, Morocco and Department of Cardiology, CHU Ibn Rochd, N°1 quartier des Hopitaux, 24200, Casablanca, Morocco.
Rachida Habbal
Service de Cardiologie, CHU Ibn Rochd, Casablanca, Morocco and Department of Cardiology, CHU Ibn Rochd, N°1 quartier des Hopitaux, 24200, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
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.
Keywords: Infective endocarditis, acute myocardial infarction, blood pressure, right coronary artery (CAD)
How to Cite
Downloads
References
Cahill TJ, Prendergast BD. Infective endocarditis. Lancet 2016;387:882– 893.
Murphy JC, Bhindi R, Ward M. An unusual case of embolic myocardial infarction. Eur Heart J. 2012;33:960.
Seo GW, Seol SH, No TH, et al.. Acute myocardial infarction caused by coronary embolism from Aspergillus endocarditis. Intern Med. 2014;53:713–6.
Popovic B, Agrinier N, Bouchahda N, et al.. Coronary embolism among ST-segment-elevation myocardial infarction patients: Mechanisms and management. Circ Cardiovasc Interv. 2018;11: e005587.
Sunil M, Hieu HQ, Arjan SR, et al. Evolving trends in infective endocarditis in a developing country: a consequence of medical progress? Ann Clin Microbiol Antimicrob. 2019;18:43.
Beldner S, Bajwa A, Kaplan B, Rosen S, Steinberg B, Cacciabauda J. Septic coronary embolism. J Interv Cardiol. 2002;15:301–4.
Pavani M, Controtto F, D'Ascenzo F, et al.. Left main occlusion secondary to infective endocarditis vegetation: “The unusual suspect”. Cardiovas Revas Medicine. 2017;18:367–8.
Taniike M, Nishino M, Egami Y, Kondo I, Shutta R, Tanaka K, et al. Acute myocardial infarction caused by a septic coronary embolism diagnosed and treated with a thrombectomy catheter. Heart. 2005;91:e34
Yang A, Tan C, Daneman N, et al. Clinical and echocardiographic predictors of embolism in infective endocarditis: systematic review and meta- analysis. Clin Microbiol Infect 2019;25: 178–187.
Baddour LM, Wilson WR, Bayer AS, et al. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association. Circulation 2015; 132: 1435– 1486.