Leukocytoclastic vasculitis and myocardial infarction as presenting manifestations of infective endocarditis: a case report

A case study reported an incident of a a 32-year-old female patient being referred to a hospital with acute chest pain. She was diabetic, nicotine dependent, and had a family history of coronary heart disease. The electrocardiogram showed a previously documented complete left bundle branch block. Cardiac troponin T was elevated, C-reactive protein serum concentration was 157 mg/l, and white blood count was normal. Coronary angiography showed a thrombotic occlusion of the mid-LAD as culprit lesion. A smooth lesion in the small PDA of the right coronary artery also detected and the patient's past medical history was complex. Aortic valve replacement with a biological prosthesis had been performed in 2006 due to infective endocarditis. The patient had also been admitted to an external department with diffuse, non-symmetric arthralgia and a recurrent purpuric rash over her distal lower extremities.