Negative Troponin I as a Predictor of Survival in SARS-Cov-2 (COVID-19)

Background Myocardial abscess is a very rare life threatening suppurative infection of the heart. Usually myocardial abscess is a complication of infective endocarditis and it is rarely associated with isolated myocardial infection. We present a case of an isolated myocardial abscess presenting with acute myocardial infarction. Case summary A 61-year-old man with a history of diabetes mellitus and coronary artery disease presented with a 3-hour history of chest pain and inferior ST elevation. He had been treated for right-sided pneumonia 1.5 months prior to admission. Coronary angiography revealed acute occlusion of the posterolateral ventricular artery and he underwent balloon angioplasty which successfully restored TIMI-3 blood flow. Unfortunately, the patient went into cardiac arrest several hours later from which he could not be resuscitated. A post-mortem revealed a myocardial abscess in the inferior wall of the left ventricle. Discussion Myocardial abscess is a challenging diagnosis due to the speed of clinical deterioration and rarity. High clinical suspicion and urgent multimodality imaging may aid in the diagnosis.

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“…Even more rarely, MA originates at the site of a myocardial infarction due to bacteremia without a known cardiac source. 3 , 4 …”

Section: Discussionmentioning

confidence: 99%