Purulent Pericarditis and Mycotic Pseudoaneurysm of the Ascending Aorta: A Case Report.

Autor: Subillaga O; Department of Surgery, The Warren Alpert Medical School, Brown University, Providence, USA., Omer MS; Department of Pathology and Laboratory Medicine, The Warren Alpert Medical School, Brown University, Providence, USA., Sodha NR; Department of Surgery, The Warren Alpert Medical School, Brown University, Providence, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Nov 01; Vol. 16 (11), pp. e72857. Date of Electronic Publication: 2024 Nov 01 (Print Publication: 2024).
DOI: 10.7759/cureus.72857
Abstrakt: Concomitant presentation of purulent pericarditis and mycotic pseudoaneurysm of the ascending aorta is exceedingly uncommon. We present a case of a 63-year-old male who presented to the emergency department after one week of severe neck pain along with pleuritic chest pain. He was found to have purulent pericarditis associated with a 0.9cm pseudoaneurysm of the ascending aorta. He underwent surgical repair with a bovine pericardial patch as well as mediastinal debridement, which revealed a larger area of necrosis than anticipated based on imaging. Microbiological investigation revealed the presence of Methicillin-sensitive Staphylococcus aureus (MSSA) in both tissues from the aortic pseudoaneurysm and the pericardial rind.
Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Subillaga et al.)
Databáze: MEDLINE