An Infective Endocarditis with Abscess Formation not Accompanied with Heart Failure
10.4250/jkse.1994.2.1.109
- Author:
Tai Hoon MOON
1
;
Kwang Kon KOH
;
Eung Jin KIM
;
Tae Byung PARK
;
Chul Ho CHO
;
Sang Kyoon CHO
;
Sam Soo KIM
;
Moon Hwan KIM
;
Sung Hoon CHIN
;
Chan Sub PARK
;
Chang Hae SUH
Author Information
1. Department of Internal Medicine, Thoracic Surgery, Radiology, Inha University Hospital, Sungnam, Korea.
- Publication Type:Case Report
- Keywords:
Infective endocarditis;
Abscess;
Heart failure
- MeSH:
Abscess;
Aortic Valve;
Aortic Valve Insufficiency;
Cardiomegaly;
Cause of Death;
Coronary Vessels;
Dyspnea;
Endocarditis;
Estrogens, Conjugated (USP);
Fever;
Heart Failure;
Heart Murmurs;
Heart Ventricles;
Heart;
Myocardial Infarction;
Myocarditis;
Respiratory Sounds;
Systolic Murmurs;
Thorax;
Viridans Streptococci
- From:Journal of the Korean Society of Echocardiography
1994;2(1):109-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Heart failure is the most common cause of death of infective endocarditis. The contributing factors of heart failure include valve destruction, myocarditis, coronary artery emboli with myocardial infarction and abscess. Recently, we experienced a thiry nine year-old man who was hospitalized at Inha University Hospital because of fever, chill and dyspnea (NYHA functional class I-II). The grade IV/Vi systolic murmur was heard at the right upper sternal border and the apex and the grade III/VI diastolic murmur was heard at Erb's area. No crackles were heard. Blook cultures grew Streptococcus viridans. Chest X-ray showed mild cardiomegaly without pulmonary congestion sign. Echocardiogram showed aortic valve vegetations, abscess and grade II/IV aortic regurgitation. Aortic valve replacement and abscess removal were performed. Findings included henegg sized abscess which reduced 70% of cross sectional area of left ventricular outflow tract and located between posterior wall of left ventricle and right and left coronary rings.
