title: Sudden death in Staphylococcus aureus-associated infective endocarditis due to perforation of a free-wall myocardial abscess.
abstract: Free-wall myocardial abscess perforation with hemopericardium and sudden death is an extremely infrequent complication of infective endocarditis (IE). We describe a case of Staphylococcus aureus-associated native aortic and tricuspid valve endocarditis complicated by a septic myocardial infarction and abscess formation of embolic origin, with fatal rupture into the pericardium. To our knowledge, only 2 cases of myocardial abscess rupture have previously been reported in relation to IE.
authors.affiliation: Cardiovascular Institute, Institut d'Investigacions Biomèdiques August Pi i Sunyer-Hospital Clinic, University of Barcelona, Spain.
authors.forename: I
authors.initials: I
authors.lastname: Anguera
authors.forename: G
authors.initials: G
authors.lastname: Quaglio
authors.forename: B
authors.initials: B
authors.lastname: Ferrer
authors.forename: J M
authors.initials: JM
authors.lastname: Nicolás
authors.forename: C
authors.initials: C
authors.lastname: Paré
authors.forename: F
authors.initials: F
authors.lastname: Marco
authors.forename: J M
authors.initials: JM
authors.lastname: Miró
mesh_terms: D000038:Abscess / Q000150:complications / Q000382:microbiology*; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications*; D013211:Staphylococcus aureus / Q000302:isolation & purification