Left ventricle outflow tract vegetation, embolism and troponin rise: an infective endocarditis case report

Abstract

Infective endocarditis (IE) incidence increases with advancing age [1], and recently has often shown atypical onset and poor prognosis. The clinical history varies greatly in relation to the different initial clinical manifestations, possible underlying heart disease, the microorganisms involved, the presence of complications and patient characteristics. Nowadays, the ‘‘classic textbook signs’’ [2] may be found almost exclusively in developing countries. In general, the most common expression of IE (20–50% of patients [2]) is often an embolic phenomenon. However, acute coronary syndrome (ACS) is an unusual IE onset form, and, as our case seems to describe, is associated with other particular features in the potential clinical evolution of IE.