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)