Endocarditis on a left atrial myxoma.
case_report · Level V
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Abstract
A 55-year-old woman presented with fever and malaise. Three blood cultures were positive for Streptococcus sanguis. A diagnosis of endocarditis was made and the patient was treated with intravenous penicillin and gentamicin. Endocardiography revealed a large left atrial tumour. At operation a myxoma covered by deposits of fibrin was excised. Microscopy revealed massive infiltrates of neutrophils and remnants of bacteria, indicating that this myxoma was a nest for infection.
Medical subject headings
- Endocarditis, Bacterial
- Heart Neoplasms
- Myxoma
- Streptococcal Infections
- Streptococcus sanguis