Abstract
An isolated myocardial abscess due to Bacteroides fragilis developed in the scar of a myocardial infarction. Fever, chills and signs of pericarditis were the main clinical features. Mild enteritis 1 week prior to the onset of symptoms related to the abscess was the most likely cause of the bacteremia. The diagnosis was established at thoracotomy, performed because of cardiac tamponade. Thirteen other cases of isolated bacterial myocardial abscess accompanying myocardial infarction have been reported, but all the infarctions were recent. Surgical resection for a suspected myocardial abscess should be considered in view of the high mortality, largely from cardiac rupture.
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- Canning B. S., Mulcahy R., Towers R. Abscess formation in an acute cardiac infarct. Br Med J. 1969 Jan 18;1(5637):164–164. doi: 10.1136/bmj.1.5637.164. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Danielson G. K., Titus J. L., DuShane J. W. Successful treatment of aortic valve endocarditis and aortic root abscesses by insertion of prosthetic valve in ascending aorta and placement of bypass grafts to coronary arteries. J Thorac Cardiovasc Surg. 1974 Mar;67(3):443–449. [PubMed] [Google Scholar]
- Guneratne F. Gas gangrene (abscess) of heart. N Y State J Med. 1975 Sep;75(10):1766–1769. [PubMed] [Google Scholar]
- KATZ A. ABSCESS OF THE MYOCARDIUM COMPLICATING INFARCTION: REPORT OF TWO CASES. Can Med Assoc J. 1964 Dec 5;91:1225–1227. [PMC free article] [PubMed] [Google Scholar]
- Korns M. E. Suppuration within an acute myocardial infarct with rupture and tamponade. Am J Cardiol. 1966 Jul;18(1):124–126. doi: 10.1016/0002-9149(66)90205-0. [DOI] [PubMed] [Google Scholar]
- Lewis J. F. Myocardial infarction during pregnancy: with associated myocardial Bacteroides abscess. South Med J. 1973 Mar;66(3):379–381. doi: 10.1097/00007611-197303000-00024. [DOI] [PubMed] [Google Scholar]
- MILLER R. D., EDWARDS J. E. Cardiac clinics. CXXXVII. Abscess formation in an acute myocardial infarct; report of case. Proc Staff Meet Mayo Clin. 1951 May 9;26(10):178–184. [PubMed] [Google Scholar]
- Marcoux J. A., Zabransky R. J., Washington J. A., 2nd, Wellman W. E., Martin W. J. Bacteroides bacteremia. Minn Med. 1970 Nov;53(11):1169–1176. [PubMed] [Google Scholar]
- Margolis J., West D., Arganaras E. Abscess formation complicating myocardial infarction. Tex Med. 1967 Jan;63(1):54–55. [PubMed] [Google Scholar]
- Murray M. Suppurative pericarditis complicating myocardial infarction. Br Med J. 1968 Jan 27;1(5586):223–224. doi: 10.1136/bmj.1.5586.223. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SANSON J., SLODKI S., GRUHN J. G. MYOCARDIAL ABSCESSES. Am Heart J. 1963 Sep;66:301–308. doi: 10.1016/0002-8703(63)90260-6. [DOI] [PubMed] [Google Scholar]
- TEDESCHI C. G., STEVENSON T. D., Jr, LEVENSON H. M. Abscess formation in myocardial infarction. N Engl J Med. 1950 Dec 28;243(26):1024–1027. doi: 10.1056/NEJM195012282432602. [DOI] [PubMed] [Google Scholar]
- TEDESCHI C. G., STEVENSON T. D., Jr, LEVENSON H. M. Abscess formation in myocardial infarction. N Engl J Med. 1950 Dec 28;243(26):1024–1027. doi: 10.1056/NEJM195012282432602. [DOI] [PubMed] [Google Scholar]
- TENNANT R., PARKS H. W. Myocardial abscesses. A study of pathogenesis with report of a case. Arch Pathol. 1959 Oct;68:456–460. [PubMed] [Google Scholar]
- Vianna N. J. Myocardial abscess and infarction. J Med Soc N J. 1973 Dec;70(12):931–932. [PubMed] [Google Scholar]

