Abstract
There have been several reports of myocardial abscesses which have ruptured into the pericardium, heart chambers, and the aortic sinus.<sup>1-6</sup>Papillary muscle involvement from myocardial abscesses<sup>6,7</sup>and one case of papillary muscle rupture have been reported.<sup>7</sup>It is the purpose of this communication to describe a rather unique complication, to our knowledge, of a myocardial abscess and to discuss various aspects of such abscesses. <h3>Patient Summary</h3> A 43-year-old white woman was admitted to the hospital on Oct 16, 1966, in acute respiratory distress. The patient had been in excellent health prior to her recent illness, the onset of which had occurred about two weeks prior to admission. She initially had symptoms of nasal congestion, sore throat, malaise, and a nonproductive cough. Several days before admission, she developed substernal pain in the chest, shortness of breath, orthopnea, and a productive cough. Hemoptysis occurred on the day prior to
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