Document Detail

MRSA-associated bacterial myocarditis causing ruptured ventricle and tamponade.
MedLine Citation:
PMID:  18434723     Owner:  NLM     Status:  MEDLINE    
We report a case of an 81-year-old man with bacterial myocarditis presenting with elevated troponins and sepsis, who succumbed due to a ruptured ventricle. The infecting organism was found to be methicillin-resistant Staphylococcus aureus. Bacterial myocarditis is a rare occurrence when independent of infective endocarditis. Generally, this is a complication of bacteremia that is discovered post-mortem. Rarely, as in our patient, it causes significant necrosis of the myocardium leading to rupture of a ventricle. As with viral myocarditis, this disease can present with signs and symptoms of acute myocardial infarction, complicating the diagnosis. Much of the available data on bacterial myocarditis was collected before the development of many modern diagnostic tests and before antibiotics. Accordingly, the appropriate workup, diagnosis and treatment remain unclear. Our patient represents the first reported case of ventricular rupture due to methicillin-resistant S. aureus-associated bacterial myocarditis.
Rebecca M LeLeiko; David J Bower; Christopher P Larsen
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-25
Journal Detail:
Title:  Cardiology     Volume:  111     ISSN:  1421-9751     ISO Abbreviation:  Cardiology     Publication Date:  2008  
Date Detail:
Created Date:  2008-09-26     Completed Date:  2009-01-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  188-90     Citation Subset:  IM    
Copyright Information:
Copyright 2008 S. Karger AG, Basel.
Department of Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.
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MeSH Terms
Aged, 80 and over
Cardiac Tamponade / microbiology*
Diagnosis, Differential
Fatal Outcome
Gastrointestinal Hemorrhage / complications
Heart Ventricles / microbiology,  pathology*
Methicillin-Resistant Staphylococcus aureus*
Myocardial Infarction / complications
Myocarditis / complications*,  microbiology,  pathology
Rupture, Spontaneous / microbiology
Staphylococcal Infections / complications*

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

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