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    607 results match your criteria Myocardial Abscess

    1 OF 13

    Myocardial ischaemia as a result of external coronary compression from infective aortic root aneurysm: atypical presentation of prosthetic valve endocarditis.
    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

    Lethal endomyocarditis caused by chronic "Krokodil" intoxication.
    Forensic Sci Med Pathol 2018 Jun 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

    Primary percutaneous coronary intervention during ST elevation myocardial infarction in prosthetic valve endocarditis: a case report.
    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

    Multimodality imaging assessment of a caseous calcification of the mitral valve annulus.
    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

    [Recurrent postpartum pyoderma gangrenosum and fatal cardiomyopathy].
    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

    British Thoracic Society Clinical Statement on Pulmonary Arteriovenous Malformations.
    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

    Perivalvular Mitral Abscess Fistulised to the Pericardial Cavity Revealing Staphylococcal Endocarditis.
    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

    Infective Endocarditis Complicated by Intraventricular Abscesses, Pericarditis, and Mycotic Aneurysm Due to an Emerging Strain of Serotype VI Streptococcus agalactiae.
    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

    [Complicated transcatheter aortic-valve endocarditis with abscess and pseudoaneurysm: Value of the ECG-gated multidetector computed tomography angiography].
    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

    [Emergency medicine : updates 2016].
    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

    Added value of sending photograph in diagnosing a medical disease declared at sea: experience of the French Tele-Medical Assistance Service.
    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

    Pancarditis: an unusual complication of a group B streptococcal infection.
    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

    Cardiac Abscess with Ventricular Aneurysm Secondary to Old Myocardial Infarction.
    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

    Morbidity and Mortality after Pancreatoduodenectomy: A Five Year Experience in Bangabandhu Sheikh Mujib Medical University.
    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

    Multiple myocardial abscesses secondary to late stent infection.
    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

    ST-segment Elevation: Myocardial Infarction or Simulacrum?
    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

    Systemic nocardiosis in a dog caused by Nocardia cyriacigeorgica.
    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

    Complicated left-sided infective endocarditis in chronic hemodialysis patients: a case report.
    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

    Are perioperative bundles associated with reduced postoperative morbidity in women undergoing benign hysterectomy? Retrospective cohort analysis of 16,286 cases in Michigan.
    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

    The Usefulness of Magnetic Resonance Imaging in the Diagnosis of Infectious Endocarditis.
    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

    Postoperative Infection in the Setting of Massive Intraoperative Blood Loss.
    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

    Diagnostic challenges in a patient with myocardial tuberculoma: A case report.
    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

    Sudden Infant and Early Childhood Death and Sinus of Valsalva Pseudoaneurysms.
    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

    Successful management of a giant unruptured mycotic coronary artery aneurysm after coronary angioplasty.
    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

    Pneumonia: Features registered in autopsy material.
    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

    [An unexpected cause of dyspnea and degradation of performance].
    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

    Prosthetic Aortic Valve Endocarditis with Left Main Coronary Artery Embolism: A Case Report and Review of the Literature.
    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

    Simultaneous surgery in patients with both cardiac and noncardiac diseases.
    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

    A Rare Case of Aspergillus Pericarditis with Associated Myocardial Abscess and Echocardiographic Response to Therapy.
    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

    Clinical and echocardiographic findings in an 8 year old Brown Swiss cow with myocardial abscess.
    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

    Prostatic abscess in a patient with ST-elevation myocardial infarction: a case report.
    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

    Neurological complications of cardiac disease (heart brain disorders).
    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

    A Rare Case of Toxic Myocarditis Caused by Bacterial Liver Abscess Mimicking Acute Myocardial Infarction.
    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

    Surgical Outcomes of a Modified Infarct Exclusion Technique for Post-Infarction Ventricular Septal Defects.
    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

    Disseminated mucormycosis with myocardial involvement in a renal transplant recipient.
    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

    Infective Endocarditis Presenting as Complete Heart Block With an Unexpected Finding of a Cardiac Abscess and Purulent Pericarditis.
    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

    Unusual presentation of listerial myocarditis and the diagnostic value of cardiac magnetic resonance.
    Tex Heart Inst J 2015 Jun 1;42(3):255-8. Epub 2015 Jun 1.
    Listeria monocytogenes is an infrequent cause of bacterial myocarditis. Myocarditis without evidence of endocarditis is even rarer. Management in such cases involves early diagnosis, antibiotic therapy, and emergency treatment of arrhythmias. Read More

    Old complication, new presentation: a case of the spleen taking the bullet.
    BMJ Case Rep 2015 Jul 6;2015. Epub 2015 Jul 6.
    Department of Cardiology, William Harvey Hospital, Kent, UK.
    We report a case of a 43-year-old man who presented to the accident and emergency department with acute abdominal pain. Ultrasound investigation showed non-specific splenic pathology and treatment for a splenic abscess was started. The patient later described a history of episodic, cardiac-sounding chest pain occurring at rest, the most recent case of which (6 days prior to admission) had been unusually severe. Read More

    Catastrophic chest pain: blinded by cardiopulmonary disease.
    BMJ Case Rep 2015 Jul 1;2015. Epub 2015 Jul 1.
    Department of Internal Medicine, Mercy Health System, Youngstown, Ohio, USA.
    A 53-year-old man with a history of diabetic foot ulcer, osteomyelitis, coronary artery disease, hypertension and hyperlipidaemia, presented with chest pain of 3 weeks duration. Eleven days earlier, the patient had had a drug-eluting stent (DES) placed in a branch of the right coronary artery (RCA) after similar chest pain, leading to the findings of a positive nuclear stress test. Since discharge, he was not compliant with taking clopidegrel (Plavix), a concern for in-stent thrombosis with recurrent myocardial ischaemia; but work up was negative and medications were restarted. Read More

    Occurrence of adverse events among patients with inflammatory bowel disease in the HealthCore Integrated Research Database.
    Curr Med Res Opin 2015 20;31(9):1655-64. Epub 2015 Aug 20.
    a a Takeda Pharmaceuticals International Company , Cambridge , MA , USA.
    Objectives: Inflammatory bowel disease (IBD) is a chronic condition commonly requiring lifelong care. Both IBD and IBD-related treatments can cause significant morbidity, and it is often difficult to differentiate their relative etiologic contribution to adverse events (AEs). The objectives of this study were to assess the rates of select AEs among patients with IBD as a function of disease severity and of the use of anti-tumor necrosis factor alpha (anti-TNFα) medications. Read More

    Pyogenic Liver Abscess: Does Escherichia Coli Cause more Adverse Outcomes than Klebsiella Pneumoniae?
    World J Surg 2015 Oct;39(10):2535-42
    Department of General Surgery, Tan Tock Seng Hospital, Singapore, 308433, Singapore,
    Background: This paper aims to demonstrate if Escherichia coli pyogenic liver abscess (ECPLA) results in adverse outcomes compared to Klebsiella pneumoniae PLA (KPPLA).

    Methods: A retrospective review of all patients admitted at a tertiary hospital in Singapore from 2003 to 2011 was performed. Patients with age <18 years, amoebic liver abscess, infected liver cyst, culture negative abscess or ruptured liver abscess requiring urgent surgical intervention were excluded. Read More

    Late Silent Stent Abscess.
    Cardiology 2015 6;132(1):65-7. Epub 2015 Jun 6.
    Cardiology Department, City Hospital No. 17, Moscow, Russia.
    Background: Coronary stent infections in general and stent abscesses (SAs) in particular are rare but often deadly complications. Most SAs manifest with fever and chest pain within 30 days after intervention and require antibiotics and stent removal.

    Case Report: A 45-year-old man with second ST elevated myocardial infarction and cardiogenic shock was admitted to a hospital that had no cardiac catheterization laboratory. Read More

    A coagulase-negative and non-haemolytic strain of Staphylococcus aureus for investigating the roles of SrtA in a murine model of bloodstream infection.
    Pathog Dis 2015 Aug 7;73(6):ftv042. Epub 2015 Jun 7.
    College of Animal Science, Jilin University, Changchun 130062, China
    Sortase A (SrtA) is a cysteine transpeptidase and virulence factor from Staphylococcus aureus (S. aureus) that catalyses the attachment and display of surface proteins on the cell wall, thereby mediating bacterial adhesion to host tissues, host-cell entry and evasion of the immune response. As a result, SrtA has become an important target in the development of therapies for S. Read More

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