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Purulent pericarditis: subdiaphragmatic suppurative focus

Kang-Un Choi1, Chan-Hee Lee2

  • 1Division of Cardiology, Department of Internal Medicine, Dongguk University, Gyeongju Hospital, Gyeongju, Korea.

Yeungnam University Journal of Medicine
|October 30, 2019
PubMed

Insights

Purulent pericarditis, a rare but life-threatening infection, involves pus in the pericardial sac. This case highlights a subdiaphragmatic source in an immunocompromised patient.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Immunology

Background:

  • Purulent pericarditis is a severe pericardial infection characterized by pus accumulation.
  • While rare in the antibiotic era, it remains a critical condition with high mortality.
  • Immunocompromised individuals are at increased risk for unusual infections.

Purpose of the Study:

  • To report a rare case of purulent pericarditis.
  • To identify an unusual origin of the infection (subdiaphragmatic focus).
  • To emphasize the importance of considering diverse sources in immunocompromised hosts.

Main Methods:

  • Case report of a single patient.
  • Review of clinical presentation, diagnostic workup, and management.
  • Discussion of the patient's immunocompromised status and the subdiaphragmatic source.

Main Results:

  • A rare case of purulent pericarditis was successfully diagnosed and managed.
  • The infection originated from a subdiaphragmatic suppurative focus.
  • The patient's immunocompromised state was a significant contributing factor.

Conclusions:

  • Purulent pericarditis, though uncommon, requires prompt recognition and management.
  • Subdiaphragmatic infections can be a rare source of purulent pericarditis.
  • Immunocompromised hosts necessitate a broad differential diagnosis for pericardial effusions.
Keywords:
Colorectal cancerEscherichia coliPericarditisSuppuration

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