Abstract

Myocardial abscess as a complication of an infected arteriovenous fistula: autopsy report

Highlights

  • Myocardial abscess is a severe and life-threatening infectious complication that is commonly but not exclusively associated with infective endocarditis

  • We described the case of a chronic kidney disease patient who had been on hemodialysis and presented with myocardial abscess and pulmonary abscesses following the infection of a arteriovenous fistula (AVF)

  • One of the first cases of myocardial abscess was described by Cossio and Berconsky in 1933, in an autopsy report describing a pneumococcal abscess in infarcted myocardial tissue.[4]

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Summary

CASE REPORT

We report the case of a 57-year-old male patient, previously diagnosed with systemic arterial hypertension, diabetes mellitus, coronary heart disease, and chronic kidney disease He had been on hemodialysis and had an arteriovenous fistula (AVF) in the left arm. Hemodialysis was being performed through the Shiley catheter inserted into the right subclavian vein On his left arm, there was a prominence at the site where the AVF had recently been ligated. Lung bases; rhythmic heart sounds with systolic mitral murmur; distended, diffusely painful abdomen with signs of ascites; liver palpable 3 cm below the right costal margin; no rebound tenderness; and mild lower limb edema He was hospitalized with the diagnosis of infection at the AVF site.

Prothrombin time
aVF
Findings
DISCUSSION

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