title: Infective endocarditis: a rare cause of acute coronary syndrome.
abstract: This is a case report of a 26 years old female who presented in emergency with sudden onset of chest heaviness and dyspnoea. She had suffered a stroke in the past and was treated with anti-tuberculous medication. Her ECG revealed STelevation myocardial infarction and thrombolysis was performed but was unsuccessful. Further workup during in-hospital stay revealed evidence of infective endocarditis and Streptococcus species were isolated. She was started on penicillin and gentamycin with good recovery. This case presented a management problem during initial presentation as there was insufficient data on thrombolysis during such situation. It is also a diagnostic problem as the initial picture was dominated by acute coronary syndrome. There is need to develop consensus based on expert opinion about management in such situations.
authors.affiliation: Unit II, National Institute of Cardiovascular Diseases, Karachi. javaidarifkhankhan@yahoo.com
authors.forename: Javaid Arif
authors.initials: JA
authors.lastname: Khan
authors.forename: Ziauddin
authors.initials: Z
authors.lastname: Panwar
authors.forename: Fayyaz
authors.initials: F
authors.lastname: Mujtaba
authors.forename: Kashif
authors.initials: K
authors.lastname: Shah
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D005260:Female; D006801:Humans; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D013291:Streptococcus / Q000302:isolation & purification