Ruptured mycotic aneurysms occur infrequently in current clinical practice, and a pneumococcal etiology is even more rare. This case report describes a patient who initially presented with catheter lab activation for an acute ST-elevation myocardial infarction, receiving a full Plavix load. She was subsequently found to have a ruptured aortic aneurysm and underwent emergency surgical repair, wi...

Knowles KA, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-223439 Description A 16-year-old girl with a medical history of tetralogy of Fallot repaired as an infant with right ventricle (RV) to pulmonary artery (PA) conduit presented to the emergency department with sudden onset fever of 38.4°C, leg cramps and poor oral intake. At admission, she was hypotensive and tachycardic. Blood cultures w...

Initial intensive combined chemotherapy, with late re-operation when indicated, appears to give better results than immediate excision of the infected valve. The combination chemotherapy used in this series was amphotericin B (up to 100 mg/patient/day) and flucytosine (up to 12 g/patient/day). Serious side effects attributed to this chemotherapy were extremely rare. Candida infections were the ...

Salmonella spp. is the cause of commonly encountered infections, with seasonal pattern of occurrence and worldwide distribution. Some of the clinical manifestations such as gastroenteritis and bacteremia are common, whereas others like mycotic aneurysms and osteomyelitis are infrequent especially in immunocompetent patients. Salmonella has been rarely described as a cause of myocarditis in the ...