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Subacute pericardial abscess after aortic valve replacement: a case report

Ilenia Magnani1, Alberto Spadotto1, Pasquale Paolisso1

  • 1Department of Experimental, Diagnostic and Specialty Medicine-DIMES (Padiglione 23), University of Bologna, Via Giuseppe Massarenti 9, 40138, Bologna, Italy.

BMC Infectious Diseases
|May 15, 2020
PubMed
Abstract

Insights

Purulent pericarditis, an infection of the pericardium, is rare. This case highlights imaging-guided treatment and the role of 18F-FDG PET/CT in managing Escherichia coli pericarditis and transient constrictive pericarditis.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Radiology

Background:

  • Purulent pericarditis is a rare bacterial infection, often linked to predisposing factors.
  • Gram-positive bacteria are common culprits, but other pathogens can be involved.

Observation:

  • A case of Escherichia coli-induced localized purulent pericarditis post-surgery.
  • The patient developed transient constrictive pericarditis, requiring careful management.

Findings:

  • Successful diagnosis and treatment utilizing imaging guidance.
  • 18F-FDG PET/CT demonstrated value in diagnosing and managing pericardial diseases.

Implications:

  • Highlights the importance of advanced imaging in purulent pericarditis.
  • Provides insights into managing transient constrictive pericarditis after thoracic surgery.
Keywords:
Constrictive pericarditisEscherichia coliPericardial abscessPurulent pericarditis

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