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A successfully treated case of primary purulent pericarditis complicated by cardiac tamponade and pneumopericardium

Acute pericarditis is caused by various factors, but purulent pericarditis is rare. Primary purulent pericarditis in immunocompetent hosts is very rare in the modern antibiotics era. We report a successfully treated case of primary purulent pericarditis complicated with cardiac tamponade and pneumop...

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Autores principales: Beom, Jong Wook, Ko, Yeekyoung, Boo, Ki Yung, Lee, Jae-Geun, Choi, Joon Hyouk, Joo, Seung-Jae, Moon, Ji Hwan, Kim, Su Wan, Kim, Song-Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Critical Care Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7940096/
https://www.ncbi.nlm.nih.gov/pubmed/33040519
http://dx.doi.org/10.4266/acc.2020.00234
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author Beom, Jong Wook
Ko, Yeekyoung
Boo, Ki Yung
Lee, Jae-Geun
Choi, Joon Hyouk
Joo, Seung-Jae
Moon, Ji Hwan
Kim, Su Wan
Kim, Song-Yi
author_facet Beom, Jong Wook
Ko, Yeekyoung
Boo, Ki Yung
Lee, Jae-Geun
Choi, Joon Hyouk
Joo, Seung-Jae
Moon, Ji Hwan
Kim, Su Wan
Kim, Song-Yi
author_sort Beom, Jong Wook
collection PubMed
description Acute pericarditis is caused by various factors, but purulent pericarditis is rare. Primary purulent pericarditis in immunocompetent hosts is very rare in the modern antibiotics era. We report a successfully treated case of primary purulent pericarditis complicated with cardiac tamponade and pneumopericardium in an immunocompetent host. A 69-year-old female was referred from another hospital because of pleuritic chest pain with a large amount of pericardial effusion. She was diagnosed with acute pericarditis accompanied by cardiac tamponade. We performed emergency pericardiocentesis, with drainage of 360 ml of bloody pericardial fluid. The culture grew Streptococcus anginosus, confirming the diagnosis of acute purulent pericarditis. We performed pericardiostomy because cardiomegaly and pneumopericardium were aggravated after removal of the pericardial drainage catheter. The patient received antibiotics for a total of 23 days intravenously and was discharged with oral antibiotic therapy. Purulent pericarditis is one of the rare forms of pericarditis and is life-threatening. A multimodality approach is required for proper diagnosis and treatment of this disease.
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spelling pubmed-79400962021-03-15 A successfully treated case of primary purulent pericarditis complicated by cardiac tamponade and pneumopericardium Beom, Jong Wook Ko, Yeekyoung Boo, Ki Yung Lee, Jae-Geun Choi, Joon Hyouk Joo, Seung-Jae Moon, Ji Hwan Kim, Su Wan Kim, Song-Yi Acute Crit Care Case Report Acute pericarditis is caused by various factors, but purulent pericarditis is rare. Primary purulent pericarditis in immunocompetent hosts is very rare in the modern antibiotics era. We report a successfully treated case of primary purulent pericarditis complicated with cardiac tamponade and pneumopericardium in an immunocompetent host. A 69-year-old female was referred from another hospital because of pleuritic chest pain with a large amount of pericardial effusion. She was diagnosed with acute pericarditis accompanied by cardiac tamponade. We performed emergency pericardiocentesis, with drainage of 360 ml of bloody pericardial fluid. The culture grew Streptococcus anginosus, confirming the diagnosis of acute purulent pericarditis. We performed pericardiostomy because cardiomegaly and pneumopericardium were aggravated after removal of the pericardial drainage catheter. The patient received antibiotics for a total of 23 days intravenously and was discharged with oral antibiotic therapy. Purulent pericarditis is one of the rare forms of pericarditis and is life-threatening. A multimodality approach is required for proper diagnosis and treatment of this disease. Korean Society of Critical Care Medicine 2021-02 2020-10-12 /pmc/articles/PMC7940096/ /pubmed/33040519 http://dx.doi.org/10.4266/acc.2020.00234 Text en Copyright © 2021 The Korean Society of Critical Care Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Beom, Jong Wook
Ko, Yeekyoung
Boo, Ki Yung
Lee, Jae-Geun
Choi, Joon Hyouk
Joo, Seung-Jae
Moon, Ji Hwan
Kim, Su Wan
Kim, Song-Yi
A successfully treated case of primary purulent pericarditis complicated by cardiac tamponade and pneumopericardium
title A successfully treated case of primary purulent pericarditis complicated by cardiac tamponade and pneumopericardium
title_full A successfully treated case of primary purulent pericarditis complicated by cardiac tamponade and pneumopericardium
title_fullStr A successfully treated case of primary purulent pericarditis complicated by cardiac tamponade and pneumopericardium
title_full_unstemmed A successfully treated case of primary purulent pericarditis complicated by cardiac tamponade and pneumopericardium
title_short A successfully treated case of primary purulent pericarditis complicated by cardiac tamponade and pneumopericardium
title_sort successfully treated case of primary purulent pericarditis complicated by cardiac tamponade and pneumopericardium
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7940096/
https://www.ncbi.nlm.nih.gov/pubmed/33040519
http://dx.doi.org/10.4266/acc.2020.00234
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