A 51-year-old hemodialysis patient was admitted for methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia from an unknown primary focus. A transthoracic echocardiogram showed no cardiac vegetation. 18 Ffludeoxyglucose positron emission tomography (18F-FDG PET) revealed an increased uptake in the aortic arch (Picture 1, white arrow) with a maximum standard uptake value of 5.30. Both athe...

OBJECTIVE The aim was to describe the echocardiographic features of patients with infective endocarditis (IE), and to compare the manifestations of IE in HIV-positive versus HIV-negative patients. METHODS The study was prospective in nature and screened patients referred to Inkosi Albert Luthuli Hospital (IALCH) with suspected IE between 2004 and 2007. Only patients with a definite diagnosis ...

DuKE-ELDER (1952) stated that orbital aneurysms of the ophthalmic arterywere very rare and that several of the reports lacked anatomical verification. Such cases were described by Guthrie (1823), Carron du Villards (1838), Passavant (1866), Dempsey (1886), Ritter (1887), de Vincentiis (1892), de Schweinitz and Holloway (1908), and Vail and Oliver (1914). Heimburger, Oberhill, McGarry, and Bucy ...

DESCRIPTION Rupture of the free wall of the left ventricle (LV) is a catastrophic complication occurring in 4% of patients after myocardial infarction (MI) and in 23% of those who die of MI. The posterior wall is the frequent location of a false ventricular aneurysm, because anterior or lateral LV ruptures are unlikely to be contained, resulting in sudden death. A 69-year-old male patient with ...

ed to the outpatient department of our hospital with complaints of intermittent fever and exertional dyspnea since 2 months. On physical examination, a grade 3/6 diastolic murmur was heard. Blood cultures had persistently grown gram-positive enterococci. Two-dimensional transthoracic echocardiogram that was performed revealed a large aneurysm in the right coronary leaflet involving the basal se...