Related Experiment Videos
Salmonella pericarditis in a patient with primary idiopathic chylopericardium
Hiromu Yoshioka1, Kikuo Shigemitsu, Mika Takeuchi
1Department of Thoracic Surgery, Nagoya University School of Medicine, 65 Showa-ku, Tsurumai-cho, Nagoya 466-8550, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|March 21, 2003
Abstract:
We report a case of a 40-year-old man with chylopericardium who developed purulent pericarditis caused by Salmonella enteritidis. Thoracoscopic pericardiotomy with debridement effectively controlled the pericardial infection.
Insights
A 40-year-old man with chylopericardium developed purulent pericarditis due to Salmonella enteritidis. Thoracoscopic pericardiotomy and debridement successfully managed the pericardial infection.
Area of Science:
- Cardiology
- Infectious Diseases
- Surgical Procedures
Background:
- Chylopericardium is a rare condition characterized by the accumulation of chylous fluid in the pericardial sac.
- Purulent pericarditis is a serious infection of the pericardium, often associated with high morbidity and mortality.
- Salmonella enteritidis is a common cause of bacterial gastroenteritis, but invasive infections can occur.
Observation:
- A 40-year-old male patient presented with symptoms suggestive of pericardial effusion.
- Diagnostic evaluation revealed chylopericardium.
- The patient subsequently developed purulent pericarditis, with Salmonella enteritidis identified as the causative pathogen.
Findings:
- Causative agent: Salmonella enteritidis identified in pericardial fluid.
- Treatment: Thoracoscopic pericardiotomy with debridement was performed.
- Outcome: The surgical intervention effectively controlled the pericardial infection and led to clinical improvement.
Implications:
- This case highlights a rare presentation of Salmonella enteritidis infection leading to purulent pericarditis in a patient with chylopericardium.
- Thoracoscopic pericardiotomy with debridement is a viable and effective minimally invasive surgical option for managing complex pericardial infections.
- Early diagnosis and prompt surgical intervention are crucial for favorable outcomes in purulent pericarditis.