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Article
November 1982

Pseudomonal Abscess Formation Within a Cardiac Mural Thrombus

Author Affiliations

From the Departments of Pathology (Drs Schneiderman and Wolfson) and Internal Medicine (Dr Wolfson), Rush-Presbyterian—St Luke's Medical Center, Chicago. Dr Schneiderman is now with the Departments of Pathology and Internal Medicine, University of Connecticut Health Center, Farmington.

Arch Intern Med. 1982;142(12):2194-2195. doi:10.1001/archinte.1982.00340250160026
Abstract

• A pseudomonal abscess within a mural thrombus developed in an elderly man at the site of myocardial infarction and left ventricular aneurysm formation. High-dose antipseudomonal drugs required a prolonged period to sterilize the bloodstream. Technical advances and higher indexes of suspicion may improve diagnosis of both sterile and infected cardiac mural thrombi.

(Arch Intern Med 1982;142:2194-2195)

References
1.
Asinger RW, Mikell FL, Elsperger J, et al:  Incidence of left-ventricular thrombosis after acute transmural myocardial infarction: Serial evaluation by two-dimensional echocardiography. N Engl J Med 1981;305:297-302.Article
2.
Joffe S, Feil H:  Subacute bacterial endocarditis arising in mural thrombi following a myocardial infarction. Circulation 1955;12:242-246.Article
3.
Castleman B, McNeely BU:  Weekly clinicopathological exercises: Case 45-1970. N Engl J Med 1970;283:982-990.Article
4.
McCallum DG, Grow J Sr:  Mural thrombus endocarditis complicating an acute myocardial infarction: Report of a case. Arch Intern Med 1981; 141:527-528.Article
5.
Castleman B, Towne VW:  Weekly clinicopathological exercises: Case 41311. N Engl J Med 1955;253:193-200.Article
6.
Sanson J, Slodki S, Gruhn JG:  Myocardial abscesses. Am Heart J 1963;66:301-308.Article
7.
Weisz S, Young DG:  Myocardial abscess complicating healed myocardial infarction. Can Med Assoc J 1977;116:1156-1158.
8.
Kortleve JW, Duren DR, Becker AE:  Cardiac aneurysm complicated by Salmonella abscess: A clinicopathologic correlation in two patients. Am J Med 1980;68:395-400.Article
9.
Catherwood E, Mintz GS, Kotler MN, et al:  Pseudoaneurysm of the left ventricle complicated by Salmonella typhimurium infection: Recognition by two-dimensional echocardiography. Am J Med 1980;68:782-786.Article
10.
Saksena FB, Kramer NE, Towne WD, et al:  Infective aneurysm of the left ventricle: Angiographic and echocardiographic features. Am Heart J 1978;96:384-388.Article
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