Infected cardiac myxoma

J Card Surg. 2013 Nov;28(6):682-4. doi: 10.1111/jocs.12184. Epub 2013 Aug 11.

Abstract

A 66-year-old male presenting with low-grade fever and general fatigue was diagnosed as having infected myxoma of the left atrium. Blood cultures grew Streptococcus mitis. He underwent urgent resection and histological examination revealed tumor cells in a mucopolysaccharide matrix and bacterial colonies along with active inflammation. Infected cardiac myxoma is extremely rare; however, it contains a potential risk of arterial embolization and so early diagnosis and urgent surgery should be considered.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / administration & dosage
  • Cardiac Surgical Procedures / methods*
  • Echocardiography, Transesophageal
  • Endocarditis, Subacute Bacterial / diagnostic imaging
  • Endocarditis, Subacute Bacterial / microbiology*
  • Endocarditis, Subacute Bacterial / pathology
  • Endocarditis, Subacute Bacterial / surgery*
  • Glycosaminoglycans
  • Heart / microbiology
  • Heart Atria
  • Heart Neoplasms / diagnostic imaging
  • Heart Neoplasms / microbiology*
  • Heart Neoplasms / pathology
  • Heart Neoplasms / surgery*
  • Humans
  • Male
  • Myocardium / pathology
  • Myxoma / diagnostic imaging
  • Myxoma / microbiology*
  • Myxoma / pathology
  • Myxoma / surgery*
  • Streptococcal Infections / diagnostic imaging
  • Streptococcal Infections / microbiology*
  • Streptococcal Infections / pathology
  • Streptococcal Infections / surgery*
  • Streptococcus mitis / isolation & purification*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Glycosaminoglycans