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A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window
BACKGROUND: Amoebiasis is a prevalent infection in the tropics. Amoebic liver abscess is the most common extraintestinal manifestation. Cardiac tamponade is an uncommon complication of amoebic liver abscess that may need urgent pericardiocentesis. CASE SUMMARY: A 25-year-old man presented with abdom...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780479/ https://www.ncbi.nlm.nih.gov/pubmed/33426455 http://dx.doi.org/10.1093/ehjcr/ytaa182 |
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author | Francis, Cliojis Soni, Swati Gupta, Anunay Agstam, Sourabh |
author_facet | Francis, Cliojis Soni, Swati Gupta, Anunay Agstam, Sourabh |
author_sort | Francis, Cliojis |
collection | PubMed |
description | BACKGROUND: Amoebiasis is a prevalent infection in the tropics. Amoebic liver abscess is the most common extraintestinal manifestation. Cardiac tamponade is an uncommon complication of amoebic liver abscess that may need urgent pericardiocentesis. CASE SUMMARY: A 25-year-old man presented with abdominal pain and fever for 1 month. Abdominal ultrasound revealed a 4.7 × 4.7 cm abscess in the left lobe of the liver. Percutaneous pigtail drainage was performed to evacuate the abscess. After 2 days, the patient developed signs of cardiac tamponade and bilateral pleural effusion, requiring urgent pericardiocentesis and chest drain insertion. Persistent posterior collection of thick abscess in pericardium needed pericardial window for complete drainage. The patient recovered completely after pericardial window. There was no evidence of chronic constrictive pericarditis after 1 year of follow-up. DISCUSSION: A rare complication of the amoebic liver abscess was observed in this young adult who developed cardiac tamponade, requiring an urgent pericardiocentesis, and later requiring pericardial window. Management includes amoebicidal and luminicidal drugs for complete eradication of Entamoeba histolytica. |
format | Online Article Text |
id | pubmed-7780479 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-77804792021-01-07 A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window Francis, Cliojis Soni, Swati Gupta, Anunay Agstam, Sourabh Eur Heart J Case Rep Case Reports BACKGROUND: Amoebiasis is a prevalent infection in the tropics. Amoebic liver abscess is the most common extraintestinal manifestation. Cardiac tamponade is an uncommon complication of amoebic liver abscess that may need urgent pericardiocentesis. CASE SUMMARY: A 25-year-old man presented with abdominal pain and fever for 1 month. Abdominal ultrasound revealed a 4.7 × 4.7 cm abscess in the left lobe of the liver. Percutaneous pigtail drainage was performed to evacuate the abscess. After 2 days, the patient developed signs of cardiac tamponade and bilateral pleural effusion, requiring urgent pericardiocentesis and chest drain insertion. Persistent posterior collection of thick abscess in pericardium needed pericardial window for complete drainage. The patient recovered completely after pericardial window. There was no evidence of chronic constrictive pericarditis after 1 year of follow-up. DISCUSSION: A rare complication of the amoebic liver abscess was observed in this young adult who developed cardiac tamponade, requiring an urgent pericardiocentesis, and later requiring pericardial window. Management includes amoebicidal and luminicidal drugs for complete eradication of Entamoeba histolytica. Oxford University Press 2020-08-30 /pmc/articles/PMC7780479/ /pubmed/33426455 http://dx.doi.org/10.1093/ehjcr/ytaa182 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Francis, Cliojis Soni, Swati Gupta, Anunay Agstam, Sourabh A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window |
title | A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window |
title_full | A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window |
title_fullStr | A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window |
title_full_unstemmed | A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window |
title_short | A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window |
title_sort | case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780479/ https://www.ncbi.nlm.nih.gov/pubmed/33426455 http://dx.doi.org/10.1093/ehjcr/ytaa182 |
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