Curious Case of Myocardial Infarction Caused by Lung Abscess
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 1
Abstract
ABSTRACT Lung abscess is a necrotizing infection of lung parenchyma with pus collection usually due to pyogenic organism. Embolic complications involving cardiac structures are extremely rare. Type 2 Myocardial Infarction (MI) denotes myocardial injury and necrosis secondary to coronary spasm, embolus, anaemia, hypotension, respiratory failure, etc. without obvious coronary artery disease. We report a case of type 2 MI complicating lung abscess which posed multiple challenges in diagnosis and management. On one hand, use of anti-ischemic therapy for MI enhances the risk of bleeding (haemoptysis) while on the other hand interrupting them to minimize bleeding predisposes to risk of thrombotic events.
Authors and Affiliations
Jyoti Bajpai, Pravesh Vishwakarma, Akshyaya Pradhan, Surya Kant, Ayush Jain
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