Fatal acute bacterial myocarditis after dentoalveolar abscess.
A 19 year old woman presented with chest pain after a dental extraction for a dentoalveolar abscess. Electrocardiographic and serum isoenzyme changes were consistent with acute anterior myocardial infarction. At autopsy bacteria were demonstrated, within the myocardium in the absence of a myocardial abscess or endocarditis. This case illustrates the occurrence of isolated acute bacterial myocarditis after a dental extraction.
D000328:Adult; D001424:Bacterial Infections / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D003352:Corynebacterium / Q000302:isolation & purification; D003354:Corynebacterium Infections / Q000209:etiology / Q000382:microbiology / Q000473:pathology; D005260:Female; D005491:Focal Infection, Dental; D006190:Haemophilus / Q000302:isolation & purification; D006192:Haemophilus Infections / Q000209:etiology / Q000382:microbiology / Q000473:pathology; D006321:Heart / Q000382:microbiology; D006801:Humans; D009205:Myocarditis / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D009336:Necrosis; D010482:Periapical Abscess / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D018805:Sepsis / Q000209:etiology / Q000382:microbiology; D013290:Streptococcal Infections / Q000209:etiology / Q000382:microbiology / Q000473:pathology; D013291:Streptococcus / Q000302:isolation & purification; D014081:Tooth Extraction; D014678:Veillonella / Q000302:isolation & purification