Successful Treatment of Left Atrial Auricular Abscess: A case report.
- Author:
Jeong Ryul LEE
1
;
Jun Sung KIM
;
Eun Jung BAE
;
Chung Il NOH
;
Curie AHN
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul National University Hospital Clinical Research Institute, Xenotransplantation Research Center, Korea. jr
- Publication Type:Case Report
- Keywords:
Abscess;
Endocarditis;
Staphylococcus aureus;
Pericardiocentesis
- MeSH:
Abscess*;
Anti-Bacterial Agents;
Cardiopulmonary Bypass;
Child;
Echocardiography;
Endocarditis;
Female;
Fever;
Humans;
Magnetic Resonance Imaging;
Pericardial Effusion;
Pericardiocentesis;
Staphylococcus aureus;
Urinary Tract Infections
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2004;37(3):272-274
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We reoprt an unusual case of left atrial auricular abscess which was successfully treated by surgical resection, treatment with antibiotics and mediastinal irrigation. A 9-year-old female patient with previous history of urinary tract infection was admitted because of persistent fever. Echocardiography and magnetic resonance imaging revealed massive pericardial effusion and a mass lesion at the left upper cardiac border. Pericardiocentesis isolated Staphylococcus aureus on culture. The patient underwent mass removal under cardiopulmonary bypass. The mass was located within the left atrial auriclular wall with fibropurulent abscess formation inside. Postoperative mediastinal irrigation was performed. Pathologic examination of the mass showed organized thrombi with chronic fibrosing mural endocarditis. She discharged on the 21st postoperative day without complication.