Document Detail


Myocardial abscesses unassociated with infective endocarditis.
MedLine Citation:
PMID:  7013088     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Review of 3,084 autopsies from 1967 to 1977 at Grady Memorial Hospital Yielded 14 cases of myocardial abscess unassociated with infective endocarditis acceptable for our study. No case was diagnosed ante mortem. Gram-negative organisms, fungi, and Staphylococcus aureus were isolated. Underlying conditions included alcoholic hepatitis, acute myocardial infarction, systemic lupus erythematosus, and various malignancies. The physical examination, chest roentgenogram, and electrocardiogram were not helpful in establishing a diagnosis. complications included pericarditis and congestive heart failure. A high index of suspicion in a debilitated patient not responding to conventional antimicrobial therapy appears to be the only clue to the antemortem diagnosis. Cardiac scintigraphy is promising as a possible means of earlier detection.
Authors:
G S Abela; B Majmudar; J M Felner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  74     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1981 Apr 
Date Detail:
Created Date:  1981-06-23     Completed Date:  1981-06-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  432-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abscess / diagnosis,  etiology*
Adolescent
Adult
Aged
Candidiasis / complications
Cardiomyopathies / diagnosis,  etiology*
Endocarditis, Bacterial / complications*,  diagnosis
Escherichia coli Infections / complications
Female
Humans
Klebsiella Infections / complications
Male
Meningitis, Meningococcal / complications
Middle Aged
Proteus Infections / complications
Pseudomonas Infections / complications
Staphylococcal Infections / complications

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


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