Cardiac tamponade secondary to leptospirosis. A rare association: A case report
| Autor: | Carlos Antonio Aranda-López, Luis Javier Doncel-Vecino, Alejandra Vaello-Paños, Ángel Morales-Martínez de Tejada, Javier Pérez-Cervera, Miguel Sánchez-Sánchez, Gema Delgado-Expósito, Eugenio Dávila-Dávila |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Abdominal pain business.industry medicine.medical_treatment Case Report 030204 cardiovascular system & hematology medicine.disease Pericardial effusion Asymptomatic Peritoneal Effusion Surgery Pericardial window 03 medical and health sciences 0302 clinical medicine Pericardiocentesis Cardiac tamponade Internal medicine medicine Cardiology 030212 general & internal medicine medicine.symptom Cardiology and Cardiovascular Medicine business Myopericarditis |
| Zdroj: | J Cardiol Cases |
| ISSN: | 1878-5409 |
| Popis: | Herein is described the case of a 39-year-old female agronomist who was admitted to hospital after a syncopal episode. She had had fever, abdominal pain, nausea, and vomiting for the previous month. The patient showed signs of hypoperfusion, so a trans-thoracic echocardiography was done, demonstrating the presence of a cardiac tamponade. An emergency pericardiocentesis was performed, draining 500 ml of hematic content. Thoracic-abdominal computed tomography showed bilateral pleural effusion and also peritoneal effusion. Laboratory tests were compatible with an inflammatory situation with neutrophilic leukocytosis, alteration of hepatic function, and a plateau elevation of high-sensitivity troponin T. Colchicine was initiated but the evolution of the patient was torpid, making necessary the performance of a pericardial window due to an abrupt increase of pericardial effusion and echocardiographic signs of impending cardiac tamponade. Two chest tubes were inserted due to an increasing bilateral pleural effusion. Serology was positive for Leptospira spp. so doxycycline was initiated. She reported that she had inspected a rice-field the previous month. The patient presented a good response to the treatment, being discharged from hospital completely asymptomatic, with no pericardial effusion and practically resolved pleural effusions. She was evaluated again one month later, with no trace of effusions or symptoms. |
| Databáze: | OpenAIRE |
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