title: Spontaneous bacterial coronary sinus septic thrombophlebitis treated successfully medically.
abstract: A 38-year-old farmer was hospitalized for fever, chills, cough, and chest pain lasting for 7 days. Due to persistent symptoms, patient was referred to hospital. Blood cultures identified oxacillin-sensitive Staphylococcus aureus (OSSA). Transthoracic echocardiography (TTE) showed large pericardial effusion, a mobile heterogeneous mass originating from the coronary sinus ostium, no sign of valvular endocarditis. Pericardiocentesis was done carrying out purulent fluid, microbiological culture isolating an OSSA. Parenteral penicillin M was administered for 6 weeks. At the end of this antibiotherapy regimen, TTE showed no coronary sinus mass with complete vacuity of the coronary sinus vein and no pericardial effusion.
authors.forename: Maxime
authors.initials: M
authors.lastname: Fournet
authors.forename: Albin
authors.initials: A
authors.lastname: Behaghel
authors.forename: Carine
authors.initials: C
authors.lastname: Pavy
authors.forename: Erwan
authors.initials: E
authors.lastname: Flecher
authors.forename: Christophe
authors.initials: C
authors.lastname: Thebault
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D054326:Coronary Sinus / Q000000981:diagnostic imaging* / Q000382:microbiology; D004452:Echocardiography / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D010406:Penicillins / Q000627:therapeutic use*; D010490:Pericardial Effusion / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000628:therapy; D020519:Pericardiocentesis / Q000379:methods; D012720:Severity of Illness Index; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy; D013924:Thrombophlebitis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome
chemical_list: D010406:Penicillins