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Polymicrobial bacterial pericarditis with mediastinitis after endotracheal intubation

D C Lu1, S C Chang, H C Chen

  • 1Department of Internal Medicine, Lotung Poh-Ai Hospital, I-Lan, Taiwan, Republic of China.

Diagnostic Microbiology and Infectious Disease
|November 1, 1995
PubMed

Insights

Traumatic endotracheal intubation can lead to rare polymicrobial bacterial pericarditis and mediastinitis. Prompt diagnosis and treatment are crucial for managing this severe complication.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Pulmonology

Background:

  • Polymicrobial bacterial pericarditis and mediastinitis are rare complications.
  • Traumatic endotracheal intubation can lead to serious infections.

Observation:

  • A 54-year-old man with nasopharyngeal carcinoma developed pericardial effusion and tamponade post-intubation.
  • Pericardiocentesis revealed purulent fluid with mixed aerobic and anaerobic bacteria.
  • Bronchoscopy identified a tracheal laceration.

Findings:

  • The patient was diagnosed with polymicrobial bacterial pericarditis and mediastinitis.
  • Treatment involved aggressive antibiotics and pericardial drainage.
  • The initial infection improved, but the patient succumbed to a subsequent nosocomial infection.

Implications:

  • This case highlights the potential for severe infectious complications following traumatic intubation.
  • Early recognition and intervention are critical for patient outcomes.
  • Upper airway flora can cause serious infections in the pericardial and mediastinal spaces.

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