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David E. Pittman, MD; Leonard P. Merkow, MD, PhD; Lawrence B. Brent, MD

Arch Intern Med. 1970;126(2):294-297.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

There have been several reports of myocardial abscesses which have ruptured into the pericardium, heart chambers, and the aortic sinus.^1-6 Papillary muscle involvement from myocardial abscesses^6,7 and one case of papillary muscle rupture have been reported.⁷ It is the purpose of this communication to describe a rather unique complication, to our knowledge, of a myocardial abscess and to discuss various aspects of such abscesses.

Patient Summary

A 43-year-old white woman was admitted to the hospital on Oct 16, 1966, in acute respiratory distress. The patient had been in excellent health prior to her recent illness, the onset of which had occurred about two weeks prior to admission. She initially had symptoms of nasal congestion, sore throat, malaise, and a nonproductive cough. Several days before admission, she developed substernal pain in the chest, shortness of breath, orthopnea, and a productive cough. Hemoptysis occurred on the day prior to . . . [Full Text PDF of this Article]

Author Affiliations
Pittsburgh

From the Division of Medicine, and the Department of Surgical Pathology of the William H. Singer Memorial Research Institute, Allegheny General Hospital, Pittsburgh.

Footnotes
Received for publication Nov 14, 1969; accepted Feb 24, 1970.

Reprint requests to Allegheny General Hospital, 320 E North Ave, Pittsburgh 15212 (Dr. Merkow).

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