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.