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Managing embolic myocardial infarction in infective endocarditis: current options
- Source :
- The Journal of infection. 51(3)
- Publication Year :
- 2004
-
Abstract
- Systemic embolization is common in infective endocarditis and is known to occur in 45-65% of cases. Coronary artery embolism has been seen in as many as 60% of cases at necropsy. However, it only rarely has been described as resulting in transmural myocardial infarction. In most cases, coronary embolism is inferred from circumstantial evidence. We present two patients with myocardial infarction in the setting of acute infective endocarditis. Current issues regarding the management of myocardial infarction in infective endocarditis are described in this article. We also describe the first documented case of Lactobacillus jensenii endocarditis leading to myocardial infarction. Possible factors, which may be instrumental in producing endocarditis with this organism, are also discussed.
- Subjects :
- Microbiology (medical)
Adult
Male
medicine.medical_specialty
Staphylococcus aureus
Adolescent
medicine.medical_treatment
Embolism
Heart Valve Diseases
Myocardial Infarction
medicine.disease_cause
Coronary artery embolism
Internal medicine
medicine
Endocarditis
Humans
Acute infective endocarditis
Embolization
Myocardial infarction
Gram-Positive Bacterial Infections
business.industry
Endocarditis, Bacterial
Staphylococcal Infections
medicine.disease
Surgery
Lactobacillus
Infectious Diseases
Infective endocarditis
Cardiology
Mitral Valve
Female
Tricuspid Valve
business
Subjects
Details
- ISSN :
- 15322742
- Volume :
- 51
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- The Journal of infection
- Accession number :
- edsair.doi.dedup.....66d5869bd288624ee4372e8a3d193b57