Subacute Bacterial Endocarditis
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چکیده
F EVER in a patient with heart disease frequently indicates infection or infarction of either the heart or lung. However, the occurrence of infection and infarction concomitantly in the heart is, at least statistically, extremely uncommon. Only four cases' 3 have been reported in the literature of bacterial invasion of an acute myocardial infarction followed by abscess formation in the myocardium. Similarly, a purulent pericarditis following an acute infarction on the basis of coronary artery disease is extremely rare. In a series of 77 cases4 of purulent pericarditis only one case of associated coronary thrombosis is recorded. In Bean's series5 of 287 cases of myocardial infarction (all but five having coronary artery disease) 101 (32 per cent) had evidence of pericarditis and two of these (0.7 per cent) had a purulent process. These figures are in marked contrast to the high incidence of pulmonary infection as a terminal event in patients with coronary artery disease. The case we are now presenting had a recent coronary artery occlusion with myocardial infarction. During convalescence he had jaundice, petechiae, purpura, and myocardial failure. This report is made because of the rarity of this clinical picture.
منابع مشابه
Subacute bacterial endocarditis arising in mural thrombi following a myocardial infarction: a case report.
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