STREPTOCOCCAL MURAL ENDOCARDITIS AND MYOCARDIAL ABSCESS OCCURRING IN A LEFT-VENTRICULAR ANEURYSM - CASE-REPORT AND REVIEW

Infection of the mural endocardium within a left ventricular aneurysm without valvular involvement is exceedingly rare. The presenting clini cal features can be non specific, and a high index of suspicion is req uired for its diagnosis. Delay in diagnosis invariably leads to a fata l outcome. Although no controlled studies are available to guide thera py and management of these patients, appropriate antibiotic therapy an d early surgical resection of the infected ventricular aneurysm remain the cornerstone of therapy.