Infected cardiac myxoma.
A 66-year-old male presenting with low-grade fever and general fatigue was diagnosed as having infected myxoma of the left atrium. Blood cultures grew Streptococcus mitis. He underwent urgent resection and histological examination revealed tumor cells in a mucopolysaccharide matrix and bacterial colonies along with active inflammation. Infected cardiac myxoma is extremely rare; however, it contains a potential risk of arterial embolization and so early diagnosis and urgent surgery should be considered.
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
Tomoki
T
Nagata
Toshinori
T
Totsugawa
Keijiro
K
Katayama
Masahiko
M
Kuinose
Hidenori
H
Yoshitaka
Tadahisa
T
Uesugi
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal; D004698:Endocarditis, Subacute Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology / Q000601:surgery*; D006025:Glycosaminoglycans; D006321:Heart / Q000382:microbiology; D006325:Heart Atria; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009206:Myocardium / Q000473:pathology; D009232:Myxoma / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology / Q000601:surgery*; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology / Q000601:surgery*; D034361:Streptococcus mitis / Q000302:isolation & purification*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D006025:Glycosaminoglycans