Enterococcus faecalis-induced infective endocarditis: an unusual source of infection and a rare clinical presentation.

ABSTRACT: A 69-year-old woman was airlifted to the emergency department after awakening with angina, diaphoresis, and shortness of breath. She was found to have ST-elevation myocardial infarction with 100% occlusion of her left anterior descending artery, and aspiration thrombectomy was performed. Blood cultures confirmed Enterococcus faecalis bacteremia. Our team used a clinical tool to determine whether transesophageal echocardiography was warranted to investigate for infective endocarditis. The patient's transesophageal echocardiogram showed a large mobile vegetation on her mitral valve. Given the presence of infective endocarditis in the absence of known coronary artery disease, we determined that the patient had likely developed acute coronary syndrome from a septic embolus originating f

SUBMITTER: Seby R 

PROVIDER: S-EPMC9340997 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature