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J Cardiol Cases 2019 Apr 17;19(4):117-120. Epub 2018 Dec 17.

Antimicrobial Resistance Research Center, Iran University of Medical Sciences, Tehran, Iran.

We present the case of a 65-year-old immunocompromised male with a history of kidney transplantation, diabetes, coronary artery bypass, and cardiac resynchronization therapy device implantation who was finally diagnosed with an unusual form of infective endocarditis due to co-infection of fungal and bacterial pathogens. He was afebrile at the time of admission and presented with decompensated heart failure and pneumonia. A spleen abscess was discovered incidentally and prompted us to search for a cardiac source of emboli. Read More

BMJ Case Rep 2018 Sep 4;2018. Epub 2018 Sep 4.

Department of Otorhinolaryngology, Leicester Royal Infirmary, Leicester, UK.

We present the case of a 76-year-old patient who attended our emergency department with signs of sepsis and severe respiratory distress. She had stridor, type 1 respiratory failure and a left-sided neck swelling. On CT, it was initially misdiagnosed as parapharyngeal abscess. Read More

World Neurosurg 2018 Nov 24;119:e250-e261. Epub 2018 Jul 24.

Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Electronic address:

Background: In the United States, the number of posterior cervical fusions has increased substantially. Perioperative neurologic complications associated with this procedure, such as spinal cord and peripheral nerve injuries, can have significant effects on patient health. We examined the impact of perioperative neurologic deficits on mortality in patients undergoing posterior cervical fusion. Read More

J Coll Physicians Surg Pak 2018 Jun;28(6):S137-S139

Department of Pathology, Combined Military Hospital (CMH), Peshawar.

During recent epidemic of dengue fever in Peshawar, there has been a significant increase in dengue-associated admission in hospitals. We performed a postmortem examination of dengue-related death in our hospital. He was a young man, who was given supportive care at our tertiary care hospital, despite that he died on seventh day of admission. Read More

Echo Res Pract 2018 Jun 11;5(2):K35-K40. Epub 2018 Apr 11.

Cardiology Department, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UK.

SummaryThis case describes an unusual presentation of prosthetic valve endocarditis (PVE): an acute coronary syndrome. A 67-year-old male presented with cardiac sounding chest pain on a background of a short history of night sweats, weight loss and general malaise. Four months previously, he had undergone bio-prosthetic aortic valve replacement for severe aortic stenosis and single vessel bypass grafting of the obtuse marginal. Read More

Forensic Sci Med Pathol 2018 06 19;14(2):229-235. Epub 2018 Mar 19.

Department of Interdisciplinary Medicine, Section of Legal Medicine, Policlinico di Bari Hospital, University of Bari, Bari, Italy.

"Krokodil" is a home-made opioid drug obtained by synthesizing desomorphine from codeine and combining it with other low-cost additives. Initially introduced in the former Soviet countries, it was then imported to Western Europe as a heroin substitute. To our knowledge, this is the first report of an Italian case of lethal krokodil abuse, that occurred in a 39-year-old man, who died suddenly after transportation to the Emergency Department (ED) for hyperthermia associated with sweating, dyspnoea and tachycardia. Read More

J Card Surg 2018 Mar 11;33(3):144-145. Epub 2018 Mar 11.

Consultant Cardiothoracic Surgeon at Townsville Hospital, Townsville, Queensland, Australia.

Circ Cardiovasc Interv 2018 Feb;11(2):e005917

From the Division of Cardiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.

BMC Cardiovasc Disord 2018 02 9;18(1):28. Epub 2018 Feb 9.

Department of Cardiology, Dell'Angelo Hospital, Mestre, Italy.

Background: Infective endocarditis (IE) is still a condition with high mortality and morbidity, especially in the elderly, and in patients with prosthetic valves. The concept of "time-to-therapy" plays a key role for the prompt management of IE and related complications, and the currently available multimodality imaging may play a key role in this setting. Myocardial ischemia due to extrinsic coronary compression from an aortic abscess is an extremely rare condition where the optimal therapeutic strategy has not been defined yet. Read More

Heart 2018 05 30;104(10):868. Epub 2018 Jan 30.

Department of Cardiology, Tenri Hospital, Tenri, Nara, Japan.

Clinical Introduction: A man in his 50s with sudden-onset chest pain and dyspnoea was transferred to the emergency room. He had a history of aortic valve replacement due to aortic regurgitation with a mechanical valve 6 years previously. Heart rate was 90 bpm, and blood pressure was too low to measure. Read More

J Saudi Heart Assoc 2018 Jan 4;30(1):55-58. Epub 2017 May 4.

Department of Cardiology, Military Hospital of Tunis, Tunis, Tunisia.

Caseous calcification of the mitral annulus (CCMA) is a rare echocardiographic finding. It is commonly misdiagnosed as an abscess, tumor or infective vegetation on the mitral valve. Since it is a benign process, differentiating it from malignant intra-cardiac mass is primordial to avoid unnecessary surgery. Read More

Ann Dermatol Venereol 2018 Apr 7;145(4):261-265. Epub 2017 Dec 7.

Service de dermatologie et vénérologie, faculté de médecine et de pharmacie, université Mohammed V, centre hospitalier universitaire Ibn Sina, BP 6527, 10100 Rabat, Maroc.

Background: We report a case of recurrent post-partum pyoderma gangrenosum (PG) complicated by post-partum cardiomyopathy (PPCM).

Patients And Methods: A 23-year-old woman presented with a previous medical history of aseptic abscess of the left breast in her fourth pregnancy, which developed after surgical drainage of an inflammatory ulceration treated by atraumatic topical care. During her fifth pregnancy, the patient presented a large and painful ulceration in relation to the scar of the Caesarean section, despite the introduction of broad-spectrum antibiotic therapy. Read More

Thorax 2017 12;72(12):1154-1163

Pulmonary Hypertension Department, Royal Brompton Hospital, London, UK.

Pulmonary arteriovenous malformations (PAVMs) are structurally abnormal vascular communications that provide a continuous right-to-left shunt between pulmonary arteries and veins. Their importance stems from the risks they pose (>1 in 4 patients will have a paradoxical embolic stroke, abscess or myocardial infarction while life-threatening haemorrhage affects 1 in 100 women in pregnancy), opportunities for risk prevention, surprisingly high prevalence and under-appreciation, thus representing a challenging condition for practising healthcare professionals. The driver for the current Clinical Statement was the plethora of new data since previous hereditary haemorrhagic telangiectasia (HHT) guidelines generated in 2006 and a systematic Cochrane Review for PAVM embolisation in 2011. Read More

Heart Lung Circ 2018 Mar 31;27(3):e34-e37. Epub 2017 Oct 31.

Service de Réanimation Polyvalente, Centre Hospitalier Victor Dupouy, Argenteuil, France. Electronic address:

Background: Fistula to the pericardial cavity is a very rare complication of perivalvular abscess during infective endocarditis, with Staphylococcus aureus being the most commonly associated microorganism.

Methods: We report a fatal septic shock due to a mitral endocarditis revealed by a myocardial abscess fistulised toward the pericardial cavity.

Results: A 66-year-old female without previous valvular disease was admitted to intensive care for severe sepsis. Read More

Jpn J Infect Dis 2017 Nov 31;70(6):685-686. Epub 2017 Oct 31.

Center for Infectious Diseases, Nara Medical University.

An increasing number of invasive infections due to Streptococcus agalactiae in non-pregnant adults have been reported. We report a case of infective endocarditis complicated by intraventricular abscesses, pericarditis, and mycotic aneurysm due to S. agalactiae belonging to ST681 with a capsular serotype VI in a woman with diabetes. Read More

Ann Cardiol Angeiol (Paris) 2017 Nov 16;66(5):338-342. Epub 2017 Oct 16.

Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France.

A 80-year-old man was admitted to catheterization room for an acute infero-lateral ST-elevation myocardial infarction (STEMI). Coronary angiography showed a thrombotic occlusion of the second left marginal branch, and normal other coronary arteries. The thrombo-embolic mechanism of the STEMI, and the infectious context in this patient who had had a transcatheter aortic valve implantation (TAVI) two months earlier, led us to suspect a bioprosthesis endocarditis. Read More

Pathologe 2017 Sep;38(5):402-406

Institut für Pathologie, Katharinenhospital, Klinikum Stuttgart, Kriegsbergstr.60, 70174, Stuttgart, Deutschland.

Background: Ethics consultations in a clinical setting can be challenging, specifically with respect to limiting therapeutic interventions in terminally ill patients. Some decisions will even be controversial.

Objective: Can a clinical autopsy be used to confirm the recommendations given by the ethics committee, i. Read More

Rev Med Suisse 2017 Jan;13(544-545):70-73

Service des urgences, CHUV, 1011 Lausanne.

Several articles have been published during 2016 suggesting amendments in certain established practices of emergency medicine. Amongst such practices now in question are : 1) the use in mechanical cardiopulmonary resuscitation of amiodarone and lidocaine which appear not to improve survival or neurological outcome ; 2) apneic oxygenation being associated with a significant increase in first pass success intubation ; 3) an updating of the definition of sepsis and septic shock which facilitate earlier identification of susceptible patients ; 4) the use of the high sensitivity troponin 0-hour / 1-hour algorithm which differentiates earlier patients with or without acute myocardial infarction ; 5) that intramuscular non-steroidal anti-inflammatory drugs offer effective sustained analgesia for renal colic, and finally 6) that irrigation of an abscess cavity after incision and drainage is not beneficial. Read More

Int Marit Health 2017 ;68(2):122-125

Centre de Consultations Médicales Maritimes, French TMAS, SAMU 31, Hôpital Purpan, CHU Toulouse, France, France.

The maritime medical tele-consultation carried out by a doctor from the Toulouse Tele-Medical Assistance Service is currently based on tele-consultation using radiotelegraphy and the complementary transmission of data (photographs, electrocardiogram) via the Internet. In a previous article, we presented the benefits of photograph transmission for trauma management in isolated areas. Through this new series of cases, we wanted to expose the aspect of the medical pathologies and the contribution of sending photographs in their management. Read More

Acta Clin Belg 2018 Apr 28;73(2):156-161. Epub 2017 Jun 28.

a Department of Cardiology and Vascular Diseases , Poitiers University Hospital , Poitiers , France.

Pancarditis is a rare condition with a poor prognosis combining endocarditis, myocarditis with abscess formation, and purulent pericarditis. Diagnosis is often delayed and the clinical signs are predominantly those of the embolic complications. Literature is scarce. Read More

J Assoc Physicians India 2017 May;65(5):95-96

Senior Professor, Department of Radiology, PGIMS, Rohtak, Haryana.

Myocardial Abscess (MA) is a rare life threatening condition mostly occurring secondary to underlying infective endocarditis. But it can also be found secondary to septicemia with some unknown focus of sepsis in the body. Development of MA as a consequence of left ventricular aneurysm (LVA) secondary to myocardial infarction is very rare. Read More

Mymensingh Med J 2017 01;26(1):145-153

Dr Bidhan C Das, Associate Professor, Division of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail:

Mortality and morbidity was assessed after adoption of a systematic care for patient with pancreatoduodenectomy starting from patient selection and preparation, operative technique, and postoperative care. In this prospective study seventy patients who underwent pancreatoduodenectomy for periampullary carcinoma with curative intent between January 2010 and December 2014 were carefully analyzed prospectively. Patients were selected those who had ampullary carcinoma, lower bile duct carcinoma and small size carcinoma head of pancreas without local invasion and distant metastasis, and the patient who did not have any major disabling comorbid diseases. Read More

Cardiovasc Pathol 2017 May - Jun;28:1-2. Epub 2017 Feb 2.

Department of Pulmonary and Critical care Medicine, Rochester General Hospital, Rochester, NY.

A 53-year-old woman presented to our hospital with dizziness and low-grade fever. She underwent percutaneous coronary intervention to the obtuse marginal artery with a drug-eluting stent 20 months prior to this presentation. Physical examination was remarkable for bradycardia. Read More

Rev Cardiovasc Med 2016 ;17(3-4):85-99

Aurora Cardiovascular Services, St. Luke's Medical Center, University of Wisconsin School of Medicine and Public Health, Milwaukee, WI.

A rapid diagnosis of ST-segment elevation myocardial infarction (STEMI) is mandatory for optimal treatment of an acute coronary syndrome. However, a small number of patients with suspected STEMI are afflicted with other medical conditions. These medical conditions are rare, but important clinical entities that should be considered when evaluating a STEMI alert. Read More

BMC Vet Res 2017 Jan 21;13(1):30. Epub 2017 Jan 21.

Department of Pathology, School of Veterinary Medicine, Firat University, 23 200, Elazig, Turkey.

Background: Systemic nocardiosis due to Nocardia cyriacigeorgica has not been reported in dogs.

Case Presentation: Light and electron microscopy, microbiological culture and molecular identification (PCR) were used to diagnose systemic nocardiosis caused by Nocardia cyriacigeorgica in a 3-month-old husky dog. The postmortem changes included multifocal to coalescing, sharply circumscribed pyogranulomatous inflammation and abscess formation in lungs, liver, myocardium, spleen, kidneys, brain, and hilar lymph nodes. Read More

Turk Kardiyol Dern Ars 2017 Jan;45(1):73-76

Department of Cardiology, Başkent University İstanbul Medical and Research Center Hospital, İstanbul, Turkey.

Infective endocarditis (IE) is a serious infectious condition with high morbidity and mortality in patients with end-stage renal disease (ESRD). It has been particularly associated with recurrent bacteremia due to vascular access via lumen catheters. The most common pathogen is Staphylococcus (S. Read More

Am J Obstet Gynecol 2017 05 9;216(5):502.e1-502.e11. Epub 2017 Jan 9.

Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.

Background: Healthcare teams that frequently follow a bundle of evidence-based processes provide care with lower rates of morbidity. Few process bundles to improve surgical outcomes in hysterectomy have been identified.

Objective: The purpose of this study was to investigate whether a bundle of 4 perioperative care processes is associated with fewer postoperative complications and readmissions for hysterectomies in the Michigan Surgical Quality Collaborative. Read More

Med Clin (Barc) 2017 Feb 27;148(4):e21-e22. Epub 2016 Dec 27.

Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, España/Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), España.

Klin Khir 2017(3):63-4

J Heart Valve Dis 2015 Nov;24(6):767-775

Department of Acquired Heart Defects.

Background: Whilst echocardiography is currently the 'gold standard' for the diagnosis of infective endocarditis (IE), it has certain limitations and alternative imaging methods are being sought. The study aim was assess the usefulness of cardiac magnetic resonance (CMR) imaging when diagnosing IE.

Methods: Twenty consecutive patients with diagnosed IE were included in the study. Read More

J Obstet Gynaecol Can 2016 12 31;38(12):1110-1113. Epub 2016 Oct 31.

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg MB; Division of Gynecologic Oncology, Cancer Care Manitoba, Winnipeg MB.

Objective: To determine the local rates of massive intraoperative blood loss and subsequent infectious morbidity for patients undergoing gynaecologic laparotomy.

Methods: We performed a retrospective chart review of all patients undergoing gynaecologic laparotomy between January 1, 2013 and December 31, 2013 to identify cases of massive intraoperative blood loss (defined as ≥1 L estimated intraoperative blood loss, a postoperative reduction in hemoglobin concentration of ≥40 g/L, or a perioperative blood transfusion). For cases meeting these criteria, we abstracted further data to assess the rate of postoperative infectious morbidity (defined as a positive wound swab culture, positive urine culture, or satisfying the 1991 criteria for systemic inflammatory response syndrome). Read More

Int J Surg Case Rep 2016 5;29:201-203. Epub 2016 Nov 5.

Faculty of Medicine and Health, Örebro University, Örebro, Sweden. Electronic address:

Introduction: Tuberculosis can affect any organ of the body, including the heart.

Presentation Of Case: An 18-year old woman presented with a multifocal tuberculosis infection involving abdominal lymph nodes, a sternotomy wound, an abscess of the abdominal wall and most notably a myocardial tuberculoma. Establishing the diagnosis of the myocardial tuberculoma was challenging mainly due to the location within the heart. Read More

J Forensic Sci 2017 Mar 16;62(2):531-535. Epub 2016 Nov 16.

Forensic Science SA, 21 Divett Place, Adelaide, 5000, Australia.

Two cases of occult pseudoaneurysms of the sinus of Valsalva (SoV) are reported to demonstrate different etiologies and lethal mechanisms. A previously well 9-month-old boy who suffered an unexpected fatal cardiorespiratory arrest was found at autopsy to have a ruptured pseudoaneurysm of the left SoV resulting in lethal hemopericardium. A 13. Read More

Indian Heart J 2016 Sep 24;68 Suppl 2:S44-S46. Epub 2016 Aug 24.

Department of Cardiothoracic and Vascular Surgery, Medanta - The Medicity, Gurgaon, Haryana, India.

Coronary artery stent infection has been reported with both bare metal stent and drug eluting stent and can present as mycotic coronary artery aneurysm, pseudoaneurysm, myocardial abscess, pericarditis or exudative effusion. Infection at the site of coronary stent implantation is rare and is believed to result typically from either direct stent contamination at the time of delivery or transient bacteraemia from access site. Introduction of drug-eluting stent (DES) has led to a marked reduction in the problem of in-stent restenosis across all patient subsets and lesions complexities. Read More

Acta Clin Belg 2017 Aug 22;72(4):232-237. Epub 2016 Sep 22.

d Center for Hygiene and Human Ecology , Institute for Public Health of Vojvodina, University of Novi Sad , Novi Sad , Serbia.

Background: Despite improvements in clinical practice, pneumonia remains one of the leading causes of death worldwide. Pathologic findings from autopsy reports could provide more precise and valid data on characteristics of pneumonia patients.

Methods: We retrospectively reviewed autopsy reports of deceased patients admitted to the Institute for Pulmonary Diseases of Vojvodina in Sremska Kamenica, Serbia, between 1994 and 2003. Read More

Dtsch Med Wochenschr 2016 Sep 19;141(19):1386. Epub 2016 Sep 19.

History And Admission Findings: A 55-year old man suffers from progressive, distinctive dyspnoea and physical weakness since 5 days. Due to ST-segment changes in the ECG and a positive troponin-test, the primary care physician initiates an hospitalization.

Investigations: After admission, the laboratory tests confirm the elevated troponin-values, and show additionally elevated pro-brain-natriuric-peptide-values. Read More

N Am J Med Sci 2016 Jun;8(6):259-62

Department of Medicine, John Hopkins University School of Medicine, Baltimore, MD, USA.

Context: Coronary embolization is potentially a fatal sequela of endocarditis. Although the primary cause of acute coronary syndrome is atherosclerotic disease, it is imperative to consider septic embolism as an etiological factor.

Case Report: Herein, we report a case of ventricular fibrillation and ST-segment depression myocardial infarction occurring in a patient who initially presented with fever and increased urinary frequency. Read More

Patient Prefer Adherence 2016 18;10:1251-8. Epub 2016 Jul 18.

Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, People's Republic of China.

Background: To investigate the possibility and feasibility of simultaneous cardiac and noncardiac surgery.

Methods: From August 2000 to March 2015, 64 patients suffering from cardiac and noncardiac diseases have been treated by simultaneous surgeries.

Results: Two patients died after operations in hospital; thus, the hospital mortality rate was 3. Read More

Echocardiography 2016 Jul 23;33(7):1085-1088. Epub 2016 Mar 23.

Heart and Vascular Institute, Henry Ford Hospital System, Detroit, Michigan.

Myocardial abscess is an extremely rare entity and is often deadly in nature. We present a case of a patient with recent orthotopic liver transplant, on immunosuppression, who presented with cardiac tamponade due to Aspergillus fumigatus pericarditis and associated myocardial abscess. The diagnosis was made based on computed tomography imaging, culture of pericardial fluid for Aspergillus, and transthoracic echocardiography. Read More

J Vet Cardiol 2016 Jun 16;18(2):194-8. Epub 2016 Feb 16.

Département des Sciences Cliniques, Université de Montréal, Saint-Hyacinthe, QC, Canada.

Intramyocardial abscesses are rare in cattle and may lead to unspecific clinical signs. This case report describes the clinical and echocardiographic findings in an 8 year old Brown Swiss cow presented with an intramural myocardial abscess. The main clinical findings were anorexia, drop in milk yield, fever, tachycardia, and hyperfibrinogenemia. Read More

BMC Cardiovasc Disord 2016 Feb 19;16:48. Epub 2016 Feb 19.

Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, Kobe, Japan.

Background: In patients with ST-elevation myocardial infarction (STEMI), urinary tract infection is the most common infection-related complication. Prostatic abscess in a patient with STEMI is very rare.

Case Presentation: We report the case of a 49-year-old Japanese man who developed fever and shaking chills during hospitalization for STEMI. Read More

Minerva Med 2016 Feb 13;107(1):14-25. Epub 2016 Jan 13.

Rudolfstiftung Hospital, Vienna, Austria -

Background: Heart disease is a frequent cause of cerebral compromise. This review aimed at summarising and discussing available data about heart brain disorders.

Methods: We performed a literature search in conventional databases. Read More

Am J Case Rep 2016 Jan 4;17:1-5. Epub 2016 Jan 4.

Department of Cardiology, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, Guangdong, China (mainland).

Background: Chills, high fever, right upper abdomen pain, and increased white blood cell count are the main and common clinical features of bacterial liver abscess. It is rare to see bacterial liver abscess present symptoms of myocardial injury first, and this can lead to misdiagnosis.

Case Report: We report a case of toxic myocarditis caused by bacterial liver abscess. Read More

Korean J Thorac Cardiovasc Surg 2015 Dec 5;48(6):381-6. Epub 2015 Dec 5.

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine.

Background: Postinfarction ventricular septal defects (pVSDs) are a serious complication of acute myocardial infarctions. The aim of this study was to analyze the clinical outcomes of the surgical treatment of pVSDs.

Methods: The medical records of 23 patients who underwent operations (infarct exclusion in 21 patients and patch closure in two patients) to treat acute pVSDs from 2001 to 2011 were analyzed. Read More

Med Mal Infect 2016 Feb 19;46(1):49-51. Epub 2015 Nov 19.

Service de réanimation polyvalente, centre hospitalier universitaire Félix-Guyon, allée des Topazes, 97400 Saint-Denis, France. Electronic address:

Transpl Infect Dis 2015 Dec 5;17(6):890-6. Epub 2015 Nov 5.

Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Incheon, Korea.

We report the case of a renal transplant recipient with pulmonary and splenic mucormycosis whose demise was accelerated by a myocardial abscess. Once pulmonary and splenic mucormycosis was diagnosed, liposomal amphotericin B was started and immunosuppressant treatments were discontinued. The pulmonary cavities regressed during treatment, but new myocardial and peri-allograft abscesses developed. Read More

Am J Med 2016 May 30;129(5):e15-6. Epub 2015 Oct 30.

Division of Cardiovascular Medicine, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus.

J Clin Med Res 2015 Nov 25;7(11):890-5. Epub 2015 Sep 25.

Department of Pathology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.

Intracardiac abscess resulting in complete heart block is an infrequent complication of infective endocarditis. Most presentations of endocarditis are limited to valvular and perivalvular structures, with varying degrees of heart block occurring in the minority of cases. We report a case of endocarditis manifesting as chest pain associated with ST segment elevation and complete heart block. Read More

Klin Khir 2015 May(5):10-1

While complicated acute cholecystitis (ACH) course the focus of infection constitutes one of the main causes of the endogenic intoxication (EI) occurrence, what leads to ischemic and hypoxic myocardial damage. There were presented the treatment results analysis in 213 patients, ageing 60 years old and older, managed for an ACH, complicated by peritonitis, paravesical abscess, with concurrent cardiac insufficiency of ischemic genesis, to whom laparoscopic cholecytectomy (LCHE) was conducted. Microflora of the abdominal cavity exudates in the patients, suffering an ACH of various severity, was studied. Read More