Bacterial pancarditis with myocardial abscess : successful surgical intervention in a 14-month-old boy

A 14-month-old boy with a structurally normal heart presented with signs of cardiac tamponade caused by purulent pericarditis. During his hospital stay, mitral and tricuspid valve endocarditis developed, and a ventricular septal abscess expanded despite appropriate, prolonged antibiotic therapy for methicillin-resistant Staphylococcus aureus. The day before scheduled surgical correction, the abscess ruptured, creating a septal aneurysm. Surgical intervention resulted in an excellent outcome. Throughout the patient's 67-day hospitalization, the use of echocardiography was crucial in monitoring and diagnosis. In addition to reporting this case, we discuss our diagnostic and treatment considerations. To our knowledge, this is only the 4th report of S. aureus bacterial pancarditis with myocardial abscess.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

Texas Heart Institute journal - 42(2015), 1 vom: 01. Feb., Seite 55-7

Sprache:

Englisch

Beteiligte Personen:

Yoon, Jonathan K [VerfasserIn]
Rahimi, M Babak [VerfasserIn]
Fiore, Andrew [VerfasserIn]
Schowengerdt, Kenneth [VerfasserIn]
Jureidini, Saadeh B [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Bacterial infections/diagnosis/therapy
Case Reports
Child, preschool
Echocardiography
Endocarditis, bacterial/complications/drug therapy
Heart aneurysm/diagnosis/etiology
Journal Article
Pericarditis/diagnosis/therapy
Staphylococcal infections/complications/drug therapy/surgery
Treatment outcome

Anmerkungen:

Date Completed 04.04.2016

Date Revised 13.11.2018

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.14503/THIJ-13-3685

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM248050419