A Coronary Septic Embolism in Double Prosthetic Valve Endocarditis Presenting as Acute Anteroseptal ST-Segment-Elevation Myocardial Infarction
Acute myocardial infarction caused by septic embolism is usually fatal. A 40-year-old male patient who presented within 30 minutes of severe chest pain was admitted to the emergency department. An electrocardiogram showed a maximum 6 mm of acute ST elevations at V1-V4 derivations. His body temperatu...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2012-09-01
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| Series: | Balkan Medical Journal |
| Subjects: | |
| Online Access: | http://www.balkanmedicaljournal.org/text.php3?id=893 |
| _version_ | 1797913151648301056 |
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| author | Gülsüm Bulut Emine Küçükateş Nazmi Gültekin |
| author_facet | Gülsüm Bulut Emine Küçükateş Nazmi Gültekin |
| author_sort | Gülsüm Bulut |
| collection | DOAJ |
| description | Acute myocardial infarction caused by septic embolism is usually fatal. A 40-year-old male patient who presented within 30 minutes of severe chest pain was admitted to the emergency department. An electrocardiogram showed a maximum 6 mm of acute ST elevations at V1-V4 derivations. His body temperature was as high as 38.5ºC. Blood cultures were taken three times before parenteral ampicillin/ sulbactam treatment was administered. Later, coagulase negative staphylococci (Methicillin Sensitive Staphylococcus epidermidis) were identified from his blood cultures. Coronary angiographic examination was performed. Lobulated contours of a septic embolus was shown in the mid region of left anterior descending artery as an outcome. Trans-esophageal echocardiography showed; mobile multiple vegetations on the prosthetic mitral and aorta valves. After six weeks of antibiotherapy, he was completely healed and discharged from hospital.Six months later, he was rehospitalized and died because of complications of recurrent infective endocarditis. |
| first_indexed | 2024-04-10T12:07:21Z |
| format | Article |
| id | doaj.art-cf19a18a319245ebbcfd4943a5b1f167 |
| institution | Directory Open Access Journal |
| issn | 2146-3123 2146-3131 |
| language | English |
| last_indexed | 2024-04-10T12:07:21Z |
| publishDate | 2012-09-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Balkan Medical Journal |
| spelling | doaj.art-cf19a18a319245ebbcfd4943a5b1f1672023-02-15T16:16:10ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312012-09-01293328330A Coronary Septic Embolism in Double Prosthetic Valve Endocarditis Presenting as Acute Anteroseptal ST-Segment-Elevation Myocardial InfarctionGülsüm BulutEmine KüçükateşNazmi GültekinAcute myocardial infarction caused by septic embolism is usually fatal. A 40-year-old male patient who presented within 30 minutes of severe chest pain was admitted to the emergency department. An electrocardiogram showed a maximum 6 mm of acute ST elevations at V1-V4 derivations. His body temperature was as high as 38.5ºC. Blood cultures were taken three times before parenteral ampicillin/ sulbactam treatment was administered. Later, coagulase negative staphylococci (Methicillin Sensitive Staphylococcus epidermidis) were identified from his blood cultures. Coronary angiographic examination was performed. Lobulated contours of a septic embolus was shown in the mid region of left anterior descending artery as an outcome. Trans-esophageal echocardiography showed; mobile multiple vegetations on the prosthetic mitral and aorta valves. After six weeks of antibiotherapy, he was completely healed and discharged from hospital.Six months later, he was rehospitalized and died because of complications of recurrent infective endocarditis.http://www.balkanmedicaljournal.org/text.php3?id=893Infective endocarditisprosthetic valvecoronary septic embolismmyocardial infarctiontrans-esophageal echocardiography |
| spellingShingle | Gülsüm Bulut Emine Küçükateş Nazmi Gültekin A Coronary Septic Embolism in Double Prosthetic Valve Endocarditis Presenting as Acute Anteroseptal ST-Segment-Elevation Myocardial Infarction Balkan Medical Journal Infective endocarditis prosthetic valve coronary septic embolism myocardial infarction trans-esophageal echocardiography |
| title | A Coronary Septic Embolism in Double Prosthetic Valve Endocarditis Presenting as Acute Anteroseptal ST-Segment-Elevation Myocardial Infarction |
| title_full | A Coronary Septic Embolism in Double Prosthetic Valve Endocarditis Presenting as Acute Anteroseptal ST-Segment-Elevation Myocardial Infarction |
| title_fullStr | A Coronary Septic Embolism in Double Prosthetic Valve Endocarditis Presenting as Acute Anteroseptal ST-Segment-Elevation Myocardial Infarction |
| title_full_unstemmed | A Coronary Septic Embolism in Double Prosthetic Valve Endocarditis Presenting as Acute Anteroseptal ST-Segment-Elevation Myocardial Infarction |
| title_short | A Coronary Septic Embolism in Double Prosthetic Valve Endocarditis Presenting as Acute Anteroseptal ST-Segment-Elevation Myocardial Infarction |
| title_sort | coronary septic embolism in double prosthetic valve endocarditis presenting as acute anteroseptal st segment elevation myocardial infarction |
| topic | Infective endocarditis prosthetic valve coronary septic embolism myocardial infarction trans-esophageal echocardiography |
| url | http://www.balkanmedicaljournal.org/text.php3?id=893 |
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