Cargando…
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...
Autores principales: | , , , , , , , , |
---|---|
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 |
_version_ | 1783661878715613184 |
---|---|
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. |
format | Online Article Text |
id | pubmed-7940096 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Society of Critical Care Medicine |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT beomjongwook asuccessfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT koyeekyoung asuccessfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT bookiyung asuccessfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT leejaegeun asuccessfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT choijoonhyouk asuccessfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT jooseungjae asuccessfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT moonjihwan asuccessfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT kimsuwan asuccessfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT kimsongyi asuccessfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT beomjongwook successfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT koyeekyoung successfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT bookiyung successfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT leejaegeun successfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT choijoonhyouk successfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT jooseungjae successfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT moonjihwan successfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT kimsuwan successfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium AT kimsongyi successfullytreatedcaseofprimarypurulentpericarditiscomplicatedbycardiactamponadeandpneumopericardium |