Ruptured myocardial abscess causing left ventricle to pulmonary artery communication in an infant with community-associated methicillin-resistant Staphylococcus aureus endocarditis.

Abstract:

:Myocardial abscess perforation is an extremely rare complication of infective endocarditis. We present a case of a 12-month-old infant who developed community-associated methicillin-resistant Staphylococcus aureus bacteremia after an incision and drainage of a skin abscess. He subsequently developed septic emboli to the brain and lungs, and a myocardial cavity in the outlet portion of the interventricular septum. The cavity ruptured 4 days after diagnosis and created a left ventricle to pulmonary artery fistulous communication. The patient died secondary to embolic complications to the brain. We are not aware of any other cases of myocardial abscess rupture in this location of the heart, in a patient of this age, or due to infection with community-associated methicillin-resistant S aureus .

journal_name

Arch Pathol Lab Med

authors

Hershenson JA,Baker PB,Rowland DG

doi

10.5858/2010-0144-CRR1

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

1057-60

issue

8

eissn

0003-9985

issn

1543-2165

pii

10.1043/2010-0144-CRR1

journal_volume

135

pub_type

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