For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
3
views
14
references
 Top references
cited by
0
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
1 collections
    0
    shares
      337
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      A rare case report of fatal acute myocardial infarction as a complication of myocardial abscess

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Myocardial abscess is a very rare life-threatening suppurative infection of the heart. Usually, myocardial abscess is a complication of infective endocarditis, and it is rarely associated with isolated myocardial infection. We present a case of an isolated myocardial abscess presenting with acute myocardial infarction.

          Case summary

          A 61-year-old man with a history of diabetes mellitus and coronary artery disease presented with a 3-h history of chest pain and inferior ST elevation. He had been treated for right-sided pneumonia 1.5 months prior to admission. Coronary angiography revealed acute occlusion of the posterolateral ventricular artery, and he underwent balloon angioplasty, which successfully restored TIMI-3 blood flow. Unfortunately, the patient went into cardiac arrest several hours later from which he could not be resuscitated. A post-mortem revealed a myocardial abscess in the inferior wall of the left ventricle.

          Discussion

          Myocardial abscess is a challenging diagnosis due to the speed of clinical deterioration and rarity. High clinical suspicion and urgent multimodality imaging may aid in the diagnosis.

          Related collections

          Most cited references14

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Type 2 Diabetes and its Impact on the Immune System

          Afiat Berbudi, Nofri Rahmadika , Adi Imam Tjahjadi … (2020)
          Introduction: Type 2 Diabetes (T2D) is a major health problem worldwide. This metabolic disease is indicated by high blood glucose levels due to insufficient insulin production by the pancreas. An inflammatory response occurs as a result of the immune response to high blood glucose levels as well as the presence of inflammatory mediators produced by adipocytes and macrophages in fat tissue. This low and chronic inflammation damages the pancreatic beta cells and leads to insufficient insulin production, which results in hyperglycemia. Hyperglycemia in diabetes is thought to cause dysfunction of the immune response, which fails to control the spread of invading pathogens in diabetic subjects. Therefore, diabetic subjects are known to more susceptible to infections. The increased prevalence of T2D will increase the incidence of infectious diseases and related comorbidities. Objective: This review provides an overview of the immunological aspect of T2D and the possible mechanisms that result in increased infections in diabetics. Conclusion: A better understanding of how immune dysfunctions occur during hyperglycemia can lead to novel treatments and preventions for infectious diseases and T2D comorbidities, thus improving the outcome of infectious disease treatment in T2D patients.
          Article 0 comments Cited 325 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Abscess in infective endocarditis: the value of transesophageal echocardiography and outcome: a 5-year study.

            Evelyn Hill, Paul Herijgers, Piet Claus … (2007)
            In patients with infective endocarditis (IE), detection of abscess remains difficult. We investigated abscess detection by transesophageal echocardiography (TEE) and predictors of abscess and death in patients with IE. A 5-year study included 115 patients with definite IE according to the modified Duke criteria who underwent TEE and cardiac surgery. Abscess was found perioperatively in 44 patients (38%). Twenty-one abscesses (48%) were detected by TEE. Sixty-one percent of missed abscesses were localized on the posterior mitral annulus. In 64% of unrecognized mitral valve abscesses, the abscess was localized around calcification in the posterior mitral annulus. Fourteen patients (54%) had prosthetic valve dehiscence, and 8 (57%) had abscess as well. Overall 6-month mortality was 17% and predictable by age (odds ratio 1.1, 95% CI 1-1.001, P = .01), abscess (odds ratio 5.3, 95% CI 1.5-19, P = .01), and the causative microorganism (P = .035), in particular staphylococci. In patients with a missed abscess, surgical delay was significantly longer (P = .04) and mortality was nonsignificantly higher (P = .2) than in patients with a preoperatively detected abscess. Detection of abscess by TEE seemed to be underestimated. In most cases, abscess was missed in the presence of calcification in the posterior mitral annulus. Age, abscess, and staphylococcal infection predicted 6-month mortality. Early surgery may improve outcome in patients with an abscess.
            Article 0 comments Cited 52 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Acute ST-elevation myocardial infarction due to septic embolism: a case report and review of management options.

              Maninder Singh, Abhishek Mishra, Edo Kaluski (2015)
              Acute ST-elevation myocardial (STEMI) infarction due to septic embolism is rare and management strategies differ from those applied to atherothrombotic STEMI. A 70-year-old male with aortic valve endocarditis and persistent bacteremia developed acute inferior wall STEMI due to septic embolism. Due to inferior STEMI accompanied by hemodynamic instability, coronary angiography and primary PCI (stenting) to a totally occluded right coronary artery (RCA) was performed. Despite excellent immediate angiographic results and hemodynamic stabilization, repeat angiogram two weeks later showed mycotic aneurysms at the site of stent placement. Patient later suffered from intracranial hemorrhage and splenic infarct and had worsening aortic regurgitation, prompting surgical aortic valve replacement with bypass of the RCA. Despite aggressive medical, interventional and surgical management, he expired four weeks after the surgery. Selection of an optimal revascularization strategy in this scenario is unclear with a potential harm from standard therapies. We have reviewed prior reports and summarized results in a tabular form.
              Article 0 comments Cited 8 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Lina Lutsenko:
                ORCID: https://orcid.org/0000-0001-9057-6115
                Maksym Sokolov:
                ORCID: https://orcid.org/0000-0002-8133-9318
                Viktoriya Krychkevych
                Amardeep Ghosh Dastidar: Role: Handling Editor
                Oliver Ian Brown: Role: Editor
                Gonçalo Costa: Role: Editor
                Journal
                Journal ID (nlm-ta): Eur Heart J Case Rep
                Journal ID (iso-abbrev): Eur Heart J Case Rep
                Journal ID (publisher-id): ehjcr
                Title: European Heart Journal: Case Reports
                Publisher: Oxford University Press (US )
                ISSN (Electronic): 2514-2119
                Publication date Collection: April 2023
                Publication date (Electronic): 05 April 2023
                Publication date PMC-release: 05 April 2023
                Volume: 7
                Issue: 4
                Electronic Location Identifier: ytad167
                Affiliations
                Department of interventional cardiology, State Institution National Scientific Center The M.D. Strazhesko Institute of Cardiology, clinical and regenerative medicine of the National academy of medical sciences of Ukraine , Svyatoslava Horobrogo 5, 03151 Kyiv, Ukraine
                Department of interventional cardiology, State Institution National Scientific Center The M.D. Strazhesko Institute of Cardiology, clinical and regenerative medicine of the National academy of medical sciences of Ukraine , Svyatoslava Horobrogo 5, 03151 Kyiv, Ukraine
                Department of pathology, State Institution National Scientific Center The M.D. Strazhesko Institute of Cardiology, clinical and regenerative medicine of the National academy of medical sciences of Ukraine , Svyatoslava Horobrogo 5, 03151 Kyiv, Ukraine
                Author notes
                Corresponding author. Tel: +380666669278, Fax: +380442756622, Email: linalutsenko@ 123456gmail.com

                Conflict of interest: None declared.

                Author information
                https://orcid.org/0000-0001-9057-6115
                https://orcid.org/0000-0002-8133-9318
                Article
                Publisher ID: ytad167
                DOI: 10.1093/ehjcr/ytad167
                PMC ID: 10118630
                SO-VID: 6034d7d7-f49b-442d-b69e-8fd851e28bf2
                Copyright © © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                History
                Date received : 31 October 2022
                Date revision received : 09 January 2023
                Date accepted : 03 April 2023
                Date: 20 April 2023
                Page count
                Pages: 6
                Categories
                Subject: Case Report
                Subject: Coronary Intervention
                Subject: AcademicSubjects/MED00200
                Subject: Ehjcr/6
                Subject: Ehjcr/7
                Subject: Ehjcr/9

                Keywords: case report,myocardial abscess,pci,myocardial infarction,st-segment elevation myocardial infarction
                Data availability:
                Keywords: case report, myocardial abscess, pci, myocardial infarction, st-segment elevation myocardial infarction

                Comments

                Comment on this article