Community-acquired methicillin-resistant Staphylococcus aureus endomyocardial abscesses in a heart transplant recipient.
Infective endocarditis is more common in heart transplant recipients than in the general population. We report a case of endomyocardial abscesses and sepsis syndrome due to community-acquired methicillin-resistant Staphylococcus aureus (MRSA) in a heart transplant recipient with a negative transesophageal echocardiogram. The suspected portal of entry for this MRSA infection was through infected herpes zoster lesions. This case demonstrates the difficulty of diagnosing endomyocardial abscesses in heart transplant patients.
Oyler
A
A
School of Medicine, Division of Infectious Diseases, University of Maryland, Baltimore, Maryland, USA.
Riveros-Angel
M
M
Shaw
K
K
Forrest
G N
GN
D000038:Abscess / Q000382:microbiology*; D017714:Community-Acquired Infections / Q000382:microbiology*; D004697:Endocarditis, Bacterial / Q000382:microbiology*; D004699:Endocardium / Q000382:microbiology*; D005260:Female; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000382:microbiology