Embolic ST-elevation Myocardial Infarction from Candida Endocarditis

Infective endocarditis in intravenous drug users is uncommon in left-sided native valves. Adding to the rarity, in this case, is endocarditis from Candida species complicated by ST-elevation myocardial infarction. Embolic myocardial infarction has worse outcomes as compared to other etiologies, and...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-04, Vol.12 (4), p.e7833
Main Authors: Ghazzal, Amre, Gill, Gauravpal S, Radwan, Sohab, Barnett, Christopher
Format: Article
Language:English
Subjects:
Abscesses
Acute coronary syndromes
Aneurysms
Antifungal agents
Cardiology
Case reports
Contraindications
Coronary vessels
Debridement
Ejection fraction
Electrocardiography
Embolisms
Embolization
Endocarditis
Heart attacks
Hospitals
Internal Medicine
Intervention
Patients
Prostheses
Stents
Thrombosis
Ultrasonic imaging
Veins & arteries
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Description
Summary:Infective endocarditis in intravenous drug users is uncommon in left-sided native valves. Adding to the rarity, in this case, is endocarditis from Candida species complicated by ST-elevation myocardial infarction. Embolic myocardial infarction has worse outcomes as compared to other etiologies, and the management of septic embolic myocardial infarction is rather challenging. The management of embolic myocardial infarction from Candida endocarditis vegetation includes antifungal therapy. The use of anti-thrombotic therapy and anticoagulation carries a significant risk of fatal neurologic complications and has been controversial, with limited observational data available. Among percutaneous coronary interventions, balloon angioplasty and stenting have been associated with multiple complications while aspiration embolectomy appears to be a safer option. Surgical management is considered if medical and interventional therapies fail or if there is an indication for valve replacement.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.7833