Hostname: page-component-7bb8b95d7b-495rp Total loading time: 0 Render date: 2024-09-11T13:21:57.829Z Has data issue: false hasContentIssue false

Infectious Complications of Acute Myocardial Infarction

Published online by Cambridge University Press:  02 January 2015

Michael Alkan*
Affiliation:
Infectious Disease and Intensive Coronary Care Units, Soroka University Hospital and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Natalio Cristal
Affiliation:
Infectious Disease and Intensive Coronary Care Units, Soroka University Hospital and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Esther Paran
Affiliation:
Infectious Disease and Intensive Coronary Care Units, Soroka University Hospital and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
*
Infectious Disease Unit, Soroka Medical Center, P.O. Box 151, Beer-Sheva 84101, Israel

Abstract

Four cases of purulent complications in the heart following acute myocardial infarction are described. Fever occurred during the first week after coronary occlusion. In one case thrombophlebitis at an infusion site was followed by purulent pericarditis. One patient had an infected mural thrombus with peripheral septic embolic, and two suffered from streptococcal endocarditis. The association between these infections and recent acute myocardial infarction could be related to tissue necrosis and local thrombosis, but the increasing risk of bacteremia following invasive monitoring procedures in these patients is a risk factor that should not be ignored.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1986

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Braunwald, E: Heart Disease. Philadelphia, W.B. Saunders Co., 1980, p 1329.Google Scholar
2.Dressler, W: A post-myocardial infarction syndrome. Preliminary report of a complication resembling idiopathic, recurrent, benign pericarditis. JAMA 1956;160:13791383.CrossRefGoogle ScholarPubMed
3.Boyle, JD, Pearce, ML, Guze, LB: Purulent pericarditis: Review of literature and report of 11 cases. Medicine 1961;40:119144.Google Scholar
4.Korns, ME: Suppuration within an acute myocardial infarct with rupture and tamponade. Am J Cardiol 1966;18:124.CrossRefGoogle ScholarPubMed
5.McCallum, DG, Grow, J: Mural thrombus endocarditis complicating an acute myocardial infarction. Arch Intern Med 1981;141:527528.CrossRefGoogle ScholarPubMed
6.Rubin, RH, Moellering, RC: Clinical, microbiologic and therapeutic aspects of purulent pericarditis. Am J Med 1975;59:6878.CrossRefGoogle ScholarPubMed
7.Cristal, N, Slonim, A, Bar-Ilan, I, et al: Plasma fibrinogen levels and the clinical course of acute myocardial infarction. Angiology 1983;34:693698.CrossRefGoogle ScholarPubMed
8.Loesche, WJ: Indigenous human flora and bacteremia, in Kaplan, EL, Taranta, AV (eds): Infective Endocarditis. American Heart Association Inc. 1977, p 40.Google Scholar
9.Everett, ED, Hirschman, JV: Transient bacteremia and endocarditis pro-phylaxis. A review. Medicine 1977;56:6177.CrossRefGoogle Scholar