title: Bacterial pancarditis with myocardial abscess: successful surgical intervention in a 14-month-old boy.
abstract: A 14-month-old boy with a structurally normal heart presented with signs of cardiac tamponade caused by purulent pericarditis. During his hospital stay, mitral and tricuspid valve endocarditis developed, and a ventricular septal abscess expanded despite appropriate, prolonged antibiotic therapy for methicillin-resistant Staphylococcus aureus. The day before scheduled surgical correction, the abscess ruptured, creating a septal aneurysm. Surgical intervention resulted in an excellent outcome. Throughout the patient's 67-day hospitalization, the use of echocardiography was crucial in monitoring and diagnosis. In addition to reporting this case, we discuss our diagnostic and treatment considerations. To our knowledge, this is only the 4th report of S. aureus bacterial pancarditis with myocardial abscess.
authors: Jonathan K
authors: JK
authors: Yoon
authors: M Babak
authors: MB
authors: Rahimi
authors: Andrew
authors: A
authors: Fiore
authors: Kenneth
authors: K
authors: Schowengerdt
authors: Saadeh B
authors: SB
authors: Jureidini
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006322:Heart Aneurysm / Q000382:microbiology / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D010493:Pericarditis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D011237:Predictive Value of Tests; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D014463:Ultrasonography; D054088:Ventricular Septum / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Bacterial infections/diagnosis/therapy; child, preschool; echocardiography; endocarditis, bacterial/complications/drug therapy; heart aneurysm/diagnosis/etiology; pericarditis/diagnosis/therapy; staphylococcal infections/complications/drug therapy/surgery; treatment outcome