Fatal hemoptysis in acute bacterial endocarditis.
Massive hemoptysis is a rare complication of bacterial endocarditis. When seen, it is most often due to septic pulmonary emboli with infarction or rupture of a mycotic aneurysm of the pulmonary artery; these conditions are usually associated with endocarditis of the tricuspid valve. We report a case of fatal hemorrhage into the lung from a mycotic aneurysm of the subclavian artery, which eroded into the left upper lobe; this condition arose as a sequela of staphylococcal endocarditis involving the mitral valve.
Cosmo
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Department of Medicine, Louisiana State University Medical Center, New Orleans 70112.
Risi
G
G
Nelson
S
S
Subramanian
P
P
Martin
D
D
Haponik
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EF
D000208:Acute Disease; D000328:Adult; D000785:Aneurysm, Infected / Q000150:complications / Q000473:pathology; D004697:Endocarditis, Bacterial / Q000150:complications*; D005260:Female; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D012422:Rupture, Spontaneous; D013203:Staphylococcal Infections / Q000150:complications; D013348:Subclavian Artery / Q000473:pathology