Recurrent myocardial abscess during Streptococcus B endocarditis
Prunier, L.; Lavergne, T.; Perier, P.; Forman, J.; Guize, L.; Bruneval, P.; Ourbak, P.
Archives des Maladies du Coeur et des Vaisseaux 81(7): 925-928
1988
ISSN/ISBN: 0003-9683 PMID: 3142390 Document Number: 321208
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.