Infected left atrial myxoma.
Upon examination, a 40-year-old man was found to have fever, weight loss, and malaise. A blood culture was positive for Streptococcus mutans. Under the suspicion of endocarditis, he was treated with penicillin. Echocardiography revealed a large tumor in the left atrium. After 6 weeks of penicillin treatment, he was transferred to our hospital for excision of the tumor. Pathology revealed a myxoma with fibrin deposits, bacterial colonization, and massive infiltration with neutrophils.
Dekkers
P
P
Department of Cardiology, St Antonius Hospital, Nieuwegein, The Netherlands.
Elbers
H R
HR
Morshuis
W J
WJ
Jaarsma
W
W
D000328:Adult; D017548:Echocardiography, Transesophageal; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D009232:Myxoma / Q000150:complications* / Q000000981:diagnostic imaging* / Q000473:pathology; D013290:Streptococcal Infections / Q000150:complications*; D013295:Streptococcus mutans