Background: Myocardial abscess is a very rare life-threatening suppurative infection of the heart. Usually, myocardial abscess is a complication of infective endocarditis, and it is rarely associated with isolated myocardial infection. We present a case of an isolated myocardial abscess presenting with acute myocardial infarction.
Case Summary: A 61-year-old man with a history of diabetes mellitus and coronary artery disease presented with a 3-h history of chest pain and inferior ST elevation. He had been treated for right-sided pneumonia 1.5 months prior to admission. Coronary angiography revealed acute occlusion of the posterolateral ventricular artery, and he underwent balloon angioplasty, which successfully restored TIMI-3 blood flow. Unfortunately, the patient went into cardiac arrest several hours later from which he could not be resuscitated. A post-mortem revealed a myocardial abscess in the inferior wall of the left ventricle.
Discussion: Myocardial abscess is a challenging diagnosis due to the speed of clinical deterioration and rarity. High clinical suspicion and urgent multimodality imaging may aid in the diagnosis.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10118630 | PMC |
| http://dx.doi.org/10.1093/ehjcr/ytad167 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Delayed Diagnosis of Disseminated Invasive Aspergillosis with Purulent Myocarditis in an Immunocompromised Host.
Infect Dis Rep
November 2024
Department of Internal Medicine and Infectious Diseases, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Invasive aspergillosis (IA) is an opportunistic fungal infection that typically occurs in the immunocompromised host and is associated with severe morbidity and mortality. Myocardial abscess formation is seldomly described. We present a case of IA with purulent myocarditis.
View Article and Find Full Text PDFCoronary stent infection and acute stent occlusion with peri-stent abscess: a case report.
Indian J Thorac Cardiovasc Surg
January 2025
Department of Cardio Thoracic and Vascular Surgery, Care Hospital, Exhibition Ground Road, Nampally, Hyderabad, 500001 Telangana India.
Coronary stent infection is considered the rarest complication of percutaneous coronary intervention, occurring in less than 0.1% of the cases. In this article, a case of coronary stent infection and acute stent occlusion with surrounding peri-stent coronary abscess has been reported.
View Article and Find Full Text PDFTakotsubo Syndrome-Induced Cardiogenic Shock in Lung Transplantation: Importance of Early Diagnosis and ECMO Implantation.
Am J Case Rep
November 2024
Department of Anesthesiology, Brussels University Hospital (H.U.B.) Erasme, Brussels, Belgium.
Article Synopsis
- Takotsubo syndrome, a rare condition that mimics a heart attack and leads to temporary heart dysfunction, is often overlooked in lung transplant cases, making awareness crucial for timely diagnosis and treatment.
- A case involving a 54-year-old woman undergoing lung transplantation revealed that she developed severe heart failure during surgery, which was initially misdiagnosed, leading to complications and a prolonged ICU stay.
- This report underscores the need for better monitoring and recognition of takotsubo syndrome in lung transplant patients, as early intervention is vital for improving health outcomes and quality of life.
Tracheopericardial fistula in lung cancer masquerading as acute myocardial infarction: a case report.
BMC Pulm Med
October 2024
Department of Respiratory and Critical Care Medicine, Shengli Oilfield Central Hospital, No.31 Jinan Road, Dongying City, 257034, Shandong Province, China.
Article Synopsis
- Tracheopericardial fistula (TPF) is a rare condition where lung disease forms a fistula between the trachea and the pericardial cavity, causing serious complications like pneumopericardium and potential cardiac issues.
- A 72-year-old man with recurrent lung cancer presented symptoms such as chest pain and fever, leading to an ST-segment elevation on his ECG that initially resembled a heart attack.
- Diagnosis was confirmed through advanced imaging techniques and bronchoscopy, highlighting the importance of recognizing TPF to avoid misdiagnosis in similar cases.
Cause of death for heart transplant patients, an autopsy study.
Cardiovasc Pathol
November 2024
Department of Pathology and Immunology, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110, USA. Electronic address:
Article Synopsis
- Heart transplantations are critical for patients with severe heart failure, but understanding complications and causes of death post-transplant is essential for improving patient care.
- A comprehensive review of autopsies from 1990 to 2023 revealed demographic data, clinical histories, and causes of death in 88 heart transplant patients.
- The study identified significant findings, including that 41.1% of deaths were related to the transplant operation, while 58.9% were due to other factors, with some unexpected causes not recognized before death.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!