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A Case of Infectious Endocarditis with Inferior Myocardial Infarction Mikio Yuhara 1 , Yoshiro Inoue 1 , Kazunori Takahashi 2 , Tetsuo Kamiyama 1 , Otsu Watanabe 1 , Toru Kato 1 , Yoshiaki Maruyama 1 , Hiroyuki Ito 1 , Shugo Tanaka 3 , Nobuo Yoshimoto 1 1The 3 rd Department of Internal Medicine, Saotama Medical ceter, Saitama Medical School 2Takahashi Clinic 3Saitama yorii Hospital Keyword: 感染性心内膜炎 , 急性心筋梗塞 , 僧帽弁閉鎖不全症 , infectious endocarditis , acute inferior myocardial infarction , mitral regurgitation pp.537-540
Published Date 2005/5/1
DOI https://doi.org/10.11477/mf.1404100057
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Summary

 A 75-year-old woman was admitted to Saitama Medical Center, because of fever and vegetation at the mitral valve. From our blood culture, MSSA was found and MEPM which was most sensitive to MSSA was started. After a few days, fever and other markers of infection gradually improved. However, 7 weeks after treatment, the patient suddenly complained of chest pain. ECG showed inferior myocardial infarction. After injection of nitroglycerin, her chest pain was relieved. September 28,cardiac catheterization was performed. Coronary arteriography showed 95% stenosis at the circumflex artery. Left ventriculography showed mitral valve reguritation grade 4. November 27, the patient was operated on and received mitral valve replacement. Infectious endocarditis with acute myocardial infarction is rare. We reported the mechanism and timing of thrombosis.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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