Case Report

Myocardial Infarction During Pregnancy With Associated Myocardial Bacteroides Abscess

Authors: JAY F. LEWIS MD


Myocardial infarction is more common in men than women.1 When myocardial infarction occurs in women, there frequently are predisposing causes as, after menopause, with diastolic hypertension, diabetes mellitus, and elevated serum cholesterol.2 Although these factors increase the possibility of myocardial infarction in women, coronary artery disease can occur in younger women, despite the absence of hypertension or diabetes mellitus.3 Myocardial infarction during pregnancy is uncommon but has been reported during the puerperium4 and during delivery.5 Bacteroides infections are well documented following delivery and arising from the female genital tract.6,7This paper reports the case of a young woman who had silent infarctions during pregnancy, developed clinically evident myocardial infarction 2 weeks after delivery, and died of a ruptured myocardium secondary to Bacteroides abscess.

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