title: Two sporadic infected cardiac myxomas in 1 patient.
abstract: Infected cardiac myxoma is a rare cause of endocarditis. The finding of coexisting infected cardiac myxomas is highly unusual. Herein, we present the case of a 58-year-old woman with a low-grade fever. Laboratory findings strongly indicated inflammation, and blood cultures detected Staphylococcus species. Echocardiograms revealed mobile masses in the area of the mitral valve. Transesophageal echocardiograms showed 2 formations that arose from opposite sides of the mitral annulus and protruded into the left ventricle during systole. During emergency surgery, 2 abnormal growths with numerous vegetations were completely excised. The diagnosis of myxoma was confirmed upon histologic evaluation. Microbiological and polymerase chain reaction analysis of the myxomas detected the bacterial strain Enterococcus faecalis. Five months postoperatively, the patient showed no signs of recurrent infection and had a normal echocardiographic appearance.This report is the first of an infected cardiac myxoma in the Czech population and one of approximately 60 reports in the medical literature from 1956 to the present. In addition to the case of our patient, we discuss the discrepancy between the bacteriologic findings.
authors.affiliation: Department of Cardiology, Institute for Clinical & Experimental Medicine, Prague 140 00, Czech Republic. marek.adamira@ikem.cz
authors.forename: Marek
authors.initials: M
authors.lastname: Adamira
authors.forename: Petr
authors.initials: P
authors.lastname: Justik
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Ulman
authors.forename: Ales
authors.initials: A
authors.lastname: Brezina
authors.forename: Tomas
authors.initials: T
authors.lastname: Mirejovsky
authors.forename: Marketa
authors.initials: M
authors.lastname: Trnkova
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001431:Bacteriological Techniques; D006348:Cardiac Surgical Procedures; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D013293:Enterococcus faecalis / Q000235:genetics / Q000302:isolation & purification*; D005260:Female; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D009232:Myxoma / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D009378:Neoplasms, Multiple Primary; D016133:Polymerase Chain Reaction; D013210:Staphylococcus / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents