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Spontaneous bacterial coronary sinus septic thrombophlebitis treated successfully medically
Echocardiography (Mount Kisco, N.Y.)
|April 22, 2014
Summary
A Staphylococcus aureus infection caused a rare coronary sinus mass and pericardial effusion in a farmer. Prompt antibiotic treatment resolved the mass and effusion, highlighting effective management of this serious condition.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Microbiology
Background:
- Bacterial infections can lead to complex cardiac complications.
- Coronary sinus masses are rare and often associated with serious underlying pathology.
Observation:
- A 38-year-old farmer presented with fever, cough, and chest pain.
- Blood cultures and pericardial fluid revealed oxacillin-sensitive Staphylococcus aureus (OSSA).
- Transthoracic echocardiography identified a large pericardial effusion and a mass at the coronary sinus ostium.
Findings:
- Pericardiocentesis yielded purulent fluid, confirming OSSA infection.
- A six-week course of parenteral penicillin M was administered.
- Follow-up echocardiography showed complete resolution of the coronary sinus mass and pericardial effusion.
Implications:
- This case highlights the importance of considering rare cardiac infections in patients with persistent symptoms.
- Early diagnosis and appropriate antibiotic therapy are crucial for successful management of OSSA-related coronary sinus masses.
- Echocardiography is a valuable tool for diagnosing and monitoring such conditions.
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