Staphylococcus aureus Myocarditis with Associated Left Ventricular Apical Thrombus
Staphylococcus aureus myocarditis is a rare diagnosis with a high mortality rate, usually seen in people who are immunocompromised. Here, we report a case of a 44-year-old man on methotrexate for rheumatoid arthritis who presented in septic shock and was diagnosed with staphylococcus aureus myocardi...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/7017286 |
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| _version_ | 1832554791395393536 |
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| author | Michael McGee Emily Shiel Stephen Brienesse Stuart Murch Robert Pickles James Leitch |
| author_facet | Michael McGee Emily Shiel Stephen Brienesse Stuart Murch Robert Pickles James Leitch |
| author_sort | Michael McGee |
| collection | DOAJ |
| description | Staphylococcus aureus myocarditis is a rare diagnosis with a high mortality rate, usually seen in people who are immunocompromised. Here, we report a case of a 44-year-old man on methotrexate for rheumatoid arthritis who presented in septic shock and was diagnosed with staphylococcus aureus myocarditis. The myocarditis was associated with a left ventricular apical thrombus, with normal systolic function. The myocarditis and associated thrombus were characterised on transthoracic echocardiogram and subsequently on cardiac magnetic resonance imaging. Cardiac magnetic resonance (CMR) imaging showed oedema in the endomyocardium, consistent with acute myocarditis, associated with an apical mural thrombus. Repeat CMR 3 weeks following discharge from hospital showed marked improvement in endomyocardial oedema and complete resolution of the apical mural thrombus. He was treated with a 12-week course of antibiotics and anticoagulated with apixaban. The patient was successfully managed with intravenous antibiotics and anticoagulation with complete recovery. |
| format | Article |
| id | doaj-art-997b65cd806e4d3e8f9c89112c994321 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-997b65cd806e4d3e8f9c89112c9943212025-02-03T05:50:33ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/70172867017286Staphylococcus aureus Myocarditis with Associated Left Ventricular Apical ThrombusMichael McGee0Emily Shiel1Stephen Brienesse2Stuart Murch3Robert Pickles4James Leitch5Cardiovascular Department, John Hunter Hospital, Lookout Road, New Lambton Heights, NSW 2305, AustraliaInfectious Diseases Department, John Hunter Hospital, Lookout Road, New Lambton Heights, NSW 2305, AustraliaCardiovascular Department, John Hunter Hospital, Lookout Road, New Lambton Heights, NSW 2305, AustraliaCardiovascular Department, John Hunter Hospital, Lookout Road, New Lambton Heights, NSW 2305, AustraliaInfectious Diseases Department, John Hunter Hospital, Lookout Road, New Lambton Heights, NSW 2305, AustraliaCardiovascular Department, John Hunter Hospital, Lookout Road, New Lambton Heights, NSW 2305, AustraliaStaphylococcus aureus myocarditis is a rare diagnosis with a high mortality rate, usually seen in people who are immunocompromised. Here, we report a case of a 44-year-old man on methotrexate for rheumatoid arthritis who presented in septic shock and was diagnosed with staphylococcus aureus myocarditis. The myocarditis was associated with a left ventricular apical thrombus, with normal systolic function. The myocarditis and associated thrombus were characterised on transthoracic echocardiogram and subsequently on cardiac magnetic resonance imaging. Cardiac magnetic resonance (CMR) imaging showed oedema in the endomyocardium, consistent with acute myocarditis, associated with an apical mural thrombus. Repeat CMR 3 weeks following discharge from hospital showed marked improvement in endomyocardial oedema and complete resolution of the apical mural thrombus. He was treated with a 12-week course of antibiotics and anticoagulated with apixaban. The patient was successfully managed with intravenous antibiotics and anticoagulation with complete recovery.http://dx.doi.org/10.1155/2018/7017286 |
| spellingShingle | Michael McGee Emily Shiel Stephen Brienesse Stuart Murch Robert Pickles James Leitch Staphylococcus aureus Myocarditis with Associated Left Ventricular Apical Thrombus Case Reports in Cardiology |
| title | Staphylococcus aureus Myocarditis with Associated Left Ventricular Apical Thrombus |
| title_full | Staphylococcus aureus Myocarditis with Associated Left Ventricular Apical Thrombus |
| title_fullStr | Staphylococcus aureus Myocarditis with Associated Left Ventricular Apical Thrombus |
| title_full_unstemmed | Staphylococcus aureus Myocarditis with Associated Left Ventricular Apical Thrombus |
| title_short | Staphylococcus aureus Myocarditis with Associated Left Ventricular Apical Thrombus |
| title_sort | staphylococcus aureus myocarditis with associated left ventricular apical thrombus |
| url | http://dx.doi.org/10.1155/2018/7017286 |
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