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Infective Endocarditis Presenting With Non-ST Elevation Myocardial Infarction: A Case Report
Infectious endocarditis (IE) is a rare disease characterized by infection of the endocardial surface of the heart. IE predominately involves the left-sided valves; however, right-sided valvular IE has increased in incidence with intravenous drug use. Treatment of IE is centered on targeted antibioti...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10651312/ https://www.ncbi.nlm.nih.gov/pubmed/38022036 http://dx.doi.org/10.7759/cureus.47147 |
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author | Dina, Anthony J Hicks, Sherell Khoury, Charles |
author_facet | Dina, Anthony J Hicks, Sherell Khoury, Charles |
author_sort | Dina, Anthony J |
collection | PubMed |
description | Infectious endocarditis (IE) is a rare disease characterized by infection of the endocardial surface of the heart. IE predominately involves the left-sided valves; however, right-sided valvular IE has increased in incidence with intravenous drug use. Treatment of IE is centered on targeted antibiotic therapy and management of complications, including septic embolization, which can affect all of the major arterial beds. Acute coronary syndrome secondary to septic embolization can be difficult to identify and carries an increased risk of morbidity and mortality. Care is further complicated by a lack of formal guidelines from any organization to inform management. We present a case of Staphylococcus hominis endocarditis complicated by coronary artery embolization and non-ST elevation myocardial infarction at the time of presentation to the emergency department, followed by a discussion of available treatment modalities. |
format | Online Article Text |
id | pubmed-10651312 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106513122023-10-16 Infective Endocarditis Presenting With Non-ST Elevation Myocardial Infarction: A Case Report Dina, Anthony J Hicks, Sherell Khoury, Charles Cureus Cardiology Infectious endocarditis (IE) is a rare disease characterized by infection of the endocardial surface of the heart. IE predominately involves the left-sided valves; however, right-sided valvular IE has increased in incidence with intravenous drug use. Treatment of IE is centered on targeted antibiotic therapy and management of complications, including septic embolization, which can affect all of the major arterial beds. Acute coronary syndrome secondary to septic embolization can be difficult to identify and carries an increased risk of morbidity and mortality. Care is further complicated by a lack of formal guidelines from any organization to inform management. We present a case of Staphylococcus hominis endocarditis complicated by coronary artery embolization and non-ST elevation myocardial infarction at the time of presentation to the emergency department, followed by a discussion of available treatment modalities. Cureus 2023-10-16 /pmc/articles/PMC10651312/ /pubmed/38022036 http://dx.doi.org/10.7759/cureus.47147 Text en Copyright © 2023, Dina et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Dina, Anthony J Hicks, Sherell Khoury, Charles Infective Endocarditis Presenting With Non-ST Elevation Myocardial Infarction: A Case Report |
title | Infective Endocarditis Presenting With Non-ST Elevation Myocardial Infarction: A Case Report |
title_full | Infective Endocarditis Presenting With Non-ST Elevation Myocardial Infarction: A Case Report |
title_fullStr | Infective Endocarditis Presenting With Non-ST Elevation Myocardial Infarction: A Case Report |
title_full_unstemmed | Infective Endocarditis Presenting With Non-ST Elevation Myocardial Infarction: A Case Report |
title_short | Infective Endocarditis Presenting With Non-ST Elevation Myocardial Infarction: A Case Report |
title_sort | infective endocarditis presenting with non-st elevation myocardial infarction: a case report |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10651312/ https://www.ncbi.nlm.nih.gov/pubmed/38022036 http://dx.doi.org/10.7759/cureus.47147 |
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