Document Detail


Cardiac aneurysm complicated by Salmonella abscess. A clinicopathologic correlation in two patients.
MedLine Citation:
PMID:  6892668     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two patients have been documented in whom a preexisting left ventricular aneurysm became complicated by myocardial abscess. Presumptive clinical diagnoses of infected pulmonary infarction and recurrent myocardial infarction were made. In each instance the abscess was revealed at necropsy. Histologic studies suggested that the abscess had occurred through direct spread from an infectious mural endocarditis. This mechanism could be related to the nature of the inner coating, which in both instances revealed evidence of organizing thrombosis with incorporation into the wall of the aneurysms. The observations reemphasize the need to consider the possibility of an infectious cardiac complication in every patient who presents with puzzling and nondiagnostic symptoms but in whom signs of an infectious process are present.
Authors:
J W Kortleve; D R Düren; A E Becker
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of medicine     Volume:  68     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1980 Mar 
Date Detail:
Created Date:  1980-05-23     Completed Date:  1980-05-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  395-400     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abscess / complications*,  pathology
Aged
Aneurysm, Infected / complications*,  pathology
Cardiomyopathies / complications*
Endocarditis, Bacterial / complications
Heart Aneurysm / complications*,  pathology
Humans
Male
Myocardial Infarction / complications
Myocardium / pathology
Salmonella Infections* / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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