A 59-year-old male with an secundum atrial septal defect status post repair with an Amplatzer occluder in 2001 was admitted with sepsis and MRSA bacteremia. Transesophageal Echocardiography (TEE) showed presence of an overlying mobile echogenic structure on the left atrial surface of the device suggestive of a vegetation/infected thrombus. This is only the 3rd case description of late endocarditis involving the Amplatzer ASD closure device in an adult.
Athletes experience significant intrinsic and extrinsic pressures motivating them to set high performance outcomes, especially before competitions. Athletes often turn to several dietary supplements to increase strength and muscle mass or to decrease body weight and fat. However, these supplements may exert adverse effects on various organs and tissues, including the cardiovascular system. Overtraining athletes have increased susceptibility to viral infection and exercise in early phase of myocarditis enhances viral replication in myocardium [1,2]. We report a case of thyroid hormone-associated acute myocarditis complicated by coxsackievirus infection.
Case reportA 25-year-old male with no past medical history presented with one day of chest pain. The patient had exercised with high intensity for a bodybuilding competition. He had fever, malaise, sore throat, and cough 1 week before presentation but he continued rigorous daily exercise. He was tachycardic and tachypneic. Cardiac examination was unremarkable. Electrocardiography showed diffuse ST segment elevation (Fig. 1). Laboratory results showed
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