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Case Reports |1 November 1952

ABSCESSES OF MYOCARDIUM DUE TO SUPPURATIVE MEDIASTINAL DERMOID: ANGIOCARDIOGRAPHIC AND PATHOLOGIC STUDY(ABSCESSES OF MYOCARDIUM DUE TO SUPPURATIVE MEDIASTINAL DERMOID: ANGIOCARDIOGRAPHIC AND PATHOLOGIC STUDY*)

SIDNEY B. ROSENBLUTH, M.D.; ISRAEL STEINBERG, M.D., F.A.C.P.; CHARLES T. DOTTER, M.D.

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Abstract

Abscess of the myocardium is rare and usually associated with septicemia. Flaxman1 found 29 instances in 14,160 autopsies, an incidence of 0.2 per cent. Saphir2 reported upon 32 myocardial abscesses occurring in 5,626 autopsies, an incidence of 0.6 per cent. Tubercles3 have invaded the myocardium, presumably also as a result of hematogenous dissemination. Abscess formation has occurred in myocardial infarcts complicated by pneumonia with septicemia.4 Direct extension of granulomatous lesions from lung or chest wall in actinomycosis,5 extension to the heart from tuberculous pericarditis3 and myocardial involvement by Boeck's sarcoid6 have been encountered. In most instances, cardiac abscess occurs as

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ROSENBLUTH SB, STEINBERG I, DOTTER CT. ABSCESSES OF MYOCARDIUM DUE TO SUPPURATIVE MEDIASTINAL DERMOID: ANGIOCARDIOGRAPHIC AND PATHOLOGIC STUDY(ABSCESSES OF MYOCARDIUM DUE TO SUPPURATIVE MEDIASTINAL DERMOID: ANGIOCARDIOGRAPHIC AND PATHOLOGIC STUDY*). Ann Intern Med. 1952;37:1064–1077. doi: 10.7326/0003-4819-37-5-1064

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Published: Ann Intern Med. 1952;37(5):1064-1077.

DOI: 10.7326/0003-4819-37-5-1064

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