Cover Image

Myocardial abscess – case report of a survivor of a fatal disease

Doddaiah Narayanappa, Hassan Sreenivasamurthy Rajani, Sunil Kumar S, Anil Kumar M.G., Chandrashekhar C.


Myocardial abscess is a rare and usually a fatal complication which is often secondary to infective endocarditis but it is relatively a rare manifestation of staphylococcal septicemia especially in pediatric population. Here we are presenting a case of intramural myocardial abscess following right thigh abscessand septicemia caused by MRSA in an immunocompetent child with no structural heart disease. Incision and drainage of thigh abscess with aggressive appropriate antibiotic therapy saved the child despite the fatal myocardial abscess. Even in the absence of Infective endocarditis in staphylococcal septicemia, it is mandatory to look for myocardial abscess for early diagnosis and betteroutcome. A high index of clinical suspicion is required to make a prompt diagnosis.

Full Text:



Sunil Kumar S, Desai N, Narayanappa D, et al. A serial echocardiographic study of myocardial abscess in a patient surviving staphylococcal septicemia. Indian Heart J. 2014 Nov-Dec;66(6):743-4. doi: 10.1016/j.ihj. 2014. 12.010. Epub 2014 Dec 19.

Anguera I, Quaglio G, Ferrer B, et al. Sudden death in Staphylococcus aureus-associated infective endocarditis due to perforation of a free-wall myocardial abscess. Scand J Infect Dis. 2001;33 (8): 622-5.

Chakrabarti J. Diagnostic evaluation of myocardial abscesses. A new look at an old problem. Int J Cardiol. 1995 Dec;52(3):189-96.

Iqbal J, Ahmed I, Baig W. Metastatic myocardial abscess on the posterior wall of the left ventricle: a case report. J Med Case Rep. 2008 Aug 5;2:258. doi: 10. 1186/1752-1947-2-258.

Yoon JK, Rahimi MB, Fiore A, Schowengerdt K, Jureidini SB. Bacterial pancarditis with myocardial abscess: successful surgical intervention in a 14-month-old boy. Tex Heart Inst J 2015; 42 (01) 55-57.

Gaur L, Madan S, Morell V, et al. Formation of ventricular aneurysm after endocarditis in a child with methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. PediatrCardiol. 2011 Oct;32(7):1062-4. doi: 10.1007/s00246-011-0044-3. Epub 2011 Jul 26.

Schnoering H, Sachweh JS, Muehler EG, et al. Pancarditis in a five-year-old boy affecting tricuspid valve and ventricular septum. Eur J Cardiothorac Surg. 2008 Nov;34(5):1115-7. doi: 10.1016/j.ejcts.2008.07. 051. Epub 2008 Aug 27.

Valente AM, Jain R, Scheurer M, et al. Frequency of infective endocarditis among infants and children with Staphylococcus aureus bacteremia. Pediatrics. 2005 Jan;115(1): e15-9. Epub 2004 Dec 15. DOI:10.1542/ peds. 2004-1152

Choussat R, Thomas D, Isnard R, et al. Perivalvular abscesses associated with endocarditis; clinical features and prognostic factors of overall survival in a series of 233 cases. Perivalvular Abscesses French Multicentre Study. Eur Heart J. 1999 Feb;20(3):232-41.

Garg N, Kandpal B, Garg N, et al. Characteristics of infective endocarditis in a developing country-clinical profile and outcome in 192 Indian patients, 1992-2001. Int J Cardiol. 2005 Feb 15; 98 (2):253-60. DOI:10. 1016/j. ijcard. 2003.10.043


  • There are currently no refbacks.