Conclusion
STEMI due to septic CE is a rare complication of IE and has a high mortality. Diagnosing fungal endocarditis requires a high clinical index of suspicion, given the initial non-specific presentation. A large vegetation observed in the TTE is highly suggestive of fungal endocarditis. STEMI treatment in the presence of septic CE is still controversial and should be modified individually.
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Corresponding author: MD Coral Serrano Arroyo. Cardiology Department at UMAE Hospital de Cardiología No. 34, Mexican Institute of Social Security, Monterrey, Nuevo León México.
E-mail for correspondence: coral.se.ar@gmail.com, phone number: +52 8110049952.