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Case Reports in Medicine
Volume 2013 (2013), Article ID 607393, 3 pages
http://dx.doi.org/10.1155/2013/607393
Case Report

Culture of the Aspirated Coronary Thromboembulus Specimen: A Peculiar Diagnostic Method for Infective Endocarditis

1Division of Cardiology, San Raffaele University Hospital, Via Olgettina 58, 20100 Milan, Italy
2Division of Vascular Surgery, San Raffaele University Hospital, Via Olgettina 58, 20100 Milan, Italy

Received 9 December 2012; Accepted 5 February 2013

Academic Editor: J. B. Sharma

Copyright © 2013 Massimo Slavich et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 69-year-old man was admitted to our hospital for persistent fever, myalgias, articular pain, headache, and hypoaesthesia of the scalp. The clinical scenario was typical for giant-cell arteritis. During hospital stay, patient developed fugax amaurosis, stroke, and acute coronary syndrome. The definitive diagnosis of infective endocarditis, supported by transesophageal echocardiography, was confirmed only by culturing the material obtained during angiography and coronary thromboaspiration.