title: Perforated mitral valve annular phlegmon with ventriculo-atrial fistula.
abstract: Herein we describe a case of perforated mitral valve annular abscess/phlegmon that presented as a new pan-systolic murmur in the setting of hallux osteomyelitis requiring amputation. We discuss the investigations, imaging and complex management challenges arising from this rare condition and the importance of considering a diagnosis of infective endocarditis in patients with a new cardiac murmur.
authors: University of Queensland, Australia.
authors: Corina E
authors: CE
authors: O'Dowd
authors: Bruce
authors: B
authors: Garlick
authors: Paul
authors: P
authors: Bartley
authors: Gregory M
authors: GM
authors: Scalia
mesh_terms: D000368:Aged; D002481:Cellulitis / Q000382:microbiology* / Q000601:surgery; D004696:Endocarditis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D005402:Fistula / Q000150:complications* / Q000601:surgery; D006325:Heart Atria; D006337:Heart Murmurs / Q000209:etiology; D006349:Heart Valve Diseases / Q000382:microbiology* / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000382:microbiology* / Q000601:surgery; D010019:Osteomyelitis / Q000150:complications / Q000601:surgery