Primary pericardial abscess caused by Staphylococcus aureus infection without a predisposing condition
| Autor: | Kazuyoshi Suenari, Nobuo Shiode, Yasuhisa Nakao, Hideo Yoshida, Yoshiko Masaoka, Toshiaki Morito, Kenji Nishioka, Tadanao Higaki, Yasuharu Nakama |
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| Rok vydání: | 2019 |
| Předmět: |
Constrictive pericarditis
medicine.medical_specialty Percutaneous business.industry medicine.disease Pericardial effusion Article Surgery Lesion medicine.anatomical_structure Internal medicine Bacteremia medicine Cardiology Pericardium Transthoracic echocardiogram medicine.symptom Cardiology and Cardiovascular Medicine business Abscess |
| Zdroj: | Journal of Cardiology Cases. 20:73-76 |
| ISSN: | 1878-5409 |
| Popis: | A 75-year-old man presented to the hospital with a low-grade fever and worsening dyspnea. Transthoracic echocardiogram and contrast-enhanced computed tomography revealed a 20 × 20 mm lesion adjacent to the left ventricle with pericardial effusion. We suspected pericardial abscess, but no bacteria were detected even after 6 consecutive blood cultures. Ultimately, we drained 500 mL serosanguinous fluid from the pericardial effusion on the 4th hospital day; a subsequent culture grew methicillin-sensitive Staphylococcus aureus. Although we performed percutaneous and surgical drainage and intravenous administration of antibiotics, he developed constrictive pericarditis, and died due to multi-organ failure on the 21st hospital day. On histological examination, neutrophil infiltration was noted in the thickened pericardium and the myocardium. To our knowledge, a purulent pericarditis complicated pericardial abscess can occur without bacteremia, and early diagnosis and aggressive management are necessary for a good prognosis. |
| Databáze: | OpenAIRE |
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