Recurrent myocardial abscess during Streptococcus B endocarditis |
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Authors: | L Prunier T Lavergne P Perier J Forman L Guize P Bruneval P Ourbak |
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Institution: | Clinique cardiologique, H?pital Broussais, Paris, France. |
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Abstract: | The authors report a case of serious streptococcus B endocarditis with a myocardial abscess that recurred after surgery. Streptococcus B endocarditis is a rare disease which is characterized by a pronounced tropism of the organism for cardiac tissues, with severe cardiac valve mutilation and abscess formation in 40% of the cases. A myocardial abscess makes the prognosis worse and must be treated surgically during the acute phase of endocarditis. Modern imaging methods, notably trans-oesophageal two-dimensional echocardiography and computerized tomography should now be used to detect such abscesses. |
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