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Localized massive staphylococcal pericardial abscess with atypical presentation
INTRODUCTION AND IMPORTANCE: Localized staphylococcal pericardial abscess (PA) is extremely rare and highly mortal complication of Staphylococcus aureus bacteremia with only a few reported cases in English-language medical literature. Clinical manifestations are fulminant, and early management is ne...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8927773/ https://www.ncbi.nlm.nih.gov/pubmed/35308432 http://dx.doi.org/10.1016/j.amsu.2022.103502 |
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author | Hussein, Abdinafic Mohamud Ucaroglu, Erhan Renan Hassan Dirie, Abdirahman Mohamed Yusuf, Mohamed Farah Osman, Abdirahman Abdulkadir |
author_facet | Hussein, Abdinafic Mohamud Ucaroglu, Erhan Renan Hassan Dirie, Abdirahman Mohamed Yusuf, Mohamed Farah Osman, Abdirahman Abdulkadir |
author_sort | Hussein, Abdinafic Mohamud |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Localized staphylococcal pericardial abscess (PA) is extremely rare and highly mortal complication of Staphylococcus aureus bacteremia with only a few reported cases in English-language medical literature. Clinical manifestations are fulminant, and early management is necessary. CASE PRESENTATION: Here we report a case of end stage renal disease (ESRD) with isolated localized massive staphylococcal PA and had masked signs and symptoms of pericardial staphylococcal infection. Contrast-enhanced computed tomography scan suggested anterior massive localized pericardial cyst like image. Surgical drainage of the abscess with localized pericardiectomy conjugated with antibiotic therapy led to a successful management. CLINICAL DISCUSSION: Staphylococcus aureus is the leading cause of hemodialysis catheter-related bloodstream infections, contributing 33–80% of the organisms cultured from blood samples. Nature of staphylococcal pericardial infection is aggressive and life threatening with generalized involvement of the pericardium although our patient presented with masked signs and symptoms. CONCLUSION: CT image of localized pericardial lesion with masked signs and symptoms does not exclude the presence of live threating pericardial infection, especially in immunocompromised patients. |
format | Online Article Text |
id | pubmed-8927773 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-89277732022-03-18 Localized massive staphylococcal pericardial abscess with atypical presentation Hussein, Abdinafic Mohamud Ucaroglu, Erhan Renan Hassan Dirie, Abdirahman Mohamed Yusuf, Mohamed Farah Osman, Abdirahman Abdulkadir Ann Med Surg (Lond) Case Report INTRODUCTION AND IMPORTANCE: Localized staphylococcal pericardial abscess (PA) is extremely rare and highly mortal complication of Staphylococcus aureus bacteremia with only a few reported cases in English-language medical literature. Clinical manifestations are fulminant, and early management is necessary. CASE PRESENTATION: Here we report a case of end stage renal disease (ESRD) with isolated localized massive staphylococcal PA and had masked signs and symptoms of pericardial staphylococcal infection. Contrast-enhanced computed tomography scan suggested anterior massive localized pericardial cyst like image. Surgical drainage of the abscess with localized pericardiectomy conjugated with antibiotic therapy led to a successful management. CLINICAL DISCUSSION: Staphylococcus aureus is the leading cause of hemodialysis catheter-related bloodstream infections, contributing 33–80% of the organisms cultured from blood samples. Nature of staphylococcal pericardial infection is aggressive and life threatening with generalized involvement of the pericardium although our patient presented with masked signs and symptoms. CONCLUSION: CT image of localized pericardial lesion with masked signs and symptoms does not exclude the presence of live threating pericardial infection, especially in immunocompromised patients. Elsevier 2022-03-12 /pmc/articles/PMC8927773/ /pubmed/35308432 http://dx.doi.org/10.1016/j.amsu.2022.103502 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Hussein, Abdinafic Mohamud Ucaroglu, Erhan Renan Hassan Dirie, Abdirahman Mohamed Yusuf, Mohamed Farah Osman, Abdirahman Abdulkadir Localized massive staphylococcal pericardial abscess with atypical presentation |
title | Localized massive staphylococcal pericardial abscess with atypical presentation |
title_full | Localized massive staphylococcal pericardial abscess with atypical presentation |
title_fullStr | Localized massive staphylococcal pericardial abscess with atypical presentation |
title_full_unstemmed | Localized massive staphylococcal pericardial abscess with atypical presentation |
title_short | Localized massive staphylococcal pericardial abscess with atypical presentation |
title_sort | localized massive staphylococcal pericardial abscess with atypical presentation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8927773/ https://www.ncbi.nlm.nih.gov/pubmed/35308432 http://dx.doi.org/10.1016/j.amsu.2022.103502 |
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