Curious Case of Myocardial Infarction Caused by Lung Abscess
Published: January 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/38433.12444
Jyoti Bajpai, Pravesh Vishwakarma, Akshyaya Pradhan, Surya Kant, Ayush Jain
1. Senior Resident, Department of Respiratory Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India.
2. Assistant Professor, Department of Cardiology, King George’s Medical University, Lucknow, Uttar Pradesh, India.
3. Assistant Professor, Department of Cardiology, King George’s Medical University, Lucknow, Uttar Pradesh, India.
4. Professor, Department of Respiratory Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India.
5. Junior Resident, Department of Respiratory Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India.
Correspondence
Dr. Akshyaya Pradhan,
Assistant Professor, Department of Cardiology, King George’s Medical University, Lucknow, Uttar Pradesh, India.
E-mail: akshyaya33@gmail.com
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.
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