Curious Case of Myocardial Infarction Caused by Lung Abscess OD01-OD03
Dr. Akshyaya Pradhan,
Assistant Professor, Department of Cardiology, King George’s Medical University, Lucknow, Uttar Pradesh, India.
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.