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Listeria myopericarditis associated with right atrial mural thrombus: a case report

BACKGROUND : Pericarditis is a common cardiology presentation, most often due to a viral or idiopathic cause. Listeria as a cause of pericarditis is rare. Listeria is an infection that is readily treatable with antibiotics following accurate identification. Without adequate treatment, Listeria infec...

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Autores principales: Brown, Andrew, Abbas, Mohamed, Runnett, Craig, Ripley, David Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501928/
https://www.ncbi.nlm.nih.gov/pubmed/32974471
http://dx.doi.org/10.1093/ehjcr/ytaa145
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author Brown, Andrew
Abbas, Mohamed
Runnett, Craig
Ripley, David Paul
author_facet Brown, Andrew
Abbas, Mohamed
Runnett, Craig
Ripley, David Paul
author_sort Brown, Andrew
collection PubMed
description BACKGROUND : Pericarditis is a common cardiology presentation, most often due to a viral or idiopathic cause. Listeria as a cause of pericarditis is rare. Listeria is an infection that is readily treatable with antibiotics following accurate identification. Without adequate treatment, Listeria infection has a high mortality rate. CASE SUMMARY : In this case, a fit and well 59-year-old man complained of headaches and fever to the emergency department (ED). He was provisionally diagnosed with giant cell arteritis (GCA) and commenced on management pathways for GCA. He represented to the ED with chest pain and electrocardiogram (ECG) changes suggestive of a clinical presentation of pericarditis. He received treatment for idiopathic pericarditis with no clinical resolution. Cardiac magnetic resonance imaging (MRI) showed myopericardial inflammation associated with a right atrial mural thrombus. After 2 weeks of poor treatment response, peripheral blood cultures grew Listeria monocytogenes and the patient responded well to antibiotic treatment. Repeat cardiac MRI after an extended course of antibiotics showed resolution of MRI signs. DISCUSSION : This is a case of Listeria myopericarditis. Physicians should consider rarer causes of myopericarditis in treatment resistance cases. Cardiac MRI has utility in atypical or treatment resistant patients to assess myopericardial inflammation and response to treatment.
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spelling pubmed-75019282020-09-23 Listeria myopericarditis associated with right atrial mural thrombus: a case report Brown, Andrew Abbas, Mohamed Runnett, Craig Ripley, David Paul Eur Heart J Case Rep Case Reports BACKGROUND : Pericarditis is a common cardiology presentation, most often due to a viral or idiopathic cause. Listeria as a cause of pericarditis is rare. Listeria is an infection that is readily treatable with antibiotics following accurate identification. Without adequate treatment, Listeria infection has a high mortality rate. CASE SUMMARY : In this case, a fit and well 59-year-old man complained of headaches and fever to the emergency department (ED). He was provisionally diagnosed with giant cell arteritis (GCA) and commenced on management pathways for GCA. He represented to the ED with chest pain and electrocardiogram (ECG) changes suggestive of a clinical presentation of pericarditis. He received treatment for idiopathic pericarditis with no clinical resolution. Cardiac magnetic resonance imaging (MRI) showed myopericardial inflammation associated with a right atrial mural thrombus. After 2 weeks of poor treatment response, peripheral blood cultures grew Listeria monocytogenes and the patient responded well to antibiotic treatment. Repeat cardiac MRI after an extended course of antibiotics showed resolution of MRI signs. DISCUSSION : This is a case of Listeria myopericarditis. Physicians should consider rarer causes of myopericarditis in treatment resistance cases. Cardiac MRI has utility in atypical or treatment resistant patients to assess myopericardial inflammation and response to treatment. Oxford University Press 2020-06-17 /pmc/articles/PMC7501928/ /pubmed/32974471 http://dx.doi.org/10.1093/ehjcr/ytaa145 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Brown, Andrew
Abbas, Mohamed
Runnett, Craig
Ripley, David Paul
Listeria myopericarditis associated with right atrial mural thrombus: a case report
title Listeria myopericarditis associated with right atrial mural thrombus: a case report
title_full Listeria myopericarditis associated with right atrial mural thrombus: a case report
title_fullStr Listeria myopericarditis associated with right atrial mural thrombus: a case report
title_full_unstemmed Listeria myopericarditis associated with right atrial mural thrombus: a case report
title_short Listeria myopericarditis associated with right atrial mural thrombus: a case report
title_sort listeria myopericarditis associated with right atrial mural thrombus: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501928/
https://www.ncbi.nlm.nih.gov/pubmed/32974471
http://dx.doi.org/10.1093/ehjcr/ytaa145
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