Infective Endocarditis Revealed by an Acute Myocardial Infarction: A Case Report

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.