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The Unusual Cause of Cardiac Tamponade

Mohd Khairi Othman1,2, Zurkurnai Yusof1,2, Siti Aisyah Hussin1,2

  • 1Cardiology Unit, Department of Internal Medicine, Hospital Universiti Sains Malaysia, Kelantan, Malaysia.

JACC. Case Reports
|November 21, 2022
PubMed

Insights

A young man developed cardiac tamponade due to Salmonella infection. Doctors discovered he also had Hodgkin lymphoma, which weakened his immune system and led to the infection.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Oncology

Background:

  • Cardiac tamponade is a critical condition requiring prompt diagnosis and management.
  • Salmonella infections can occur in immunocompromised individuals.
  • Classical Hodgkin lymphoma is a malignancy affecting the immune system.

Observation:

  • A previously healthy young male presented with symptoms of cardiac tamponade.
  • Emergency pericardiocentesis was performed to relieve pressure on the heart.
  • Pericardial fluid analysis revealed an exudative effusion.

Findings:

  • Pericardial and blood cultures were positive for Salmonella species.
  • Subsequent investigations identified classical Hodgkin lymphoma as an underlying condition.
  • The patient's immunocompromised state due to lymphoma predisposed him to Salmonella infection.

Implications:

  • This case highlights the importance of considering opportunistic infections in patients with hematologic malignancies.
  • Early diagnosis and treatment of both infection and underlying malignancy are crucial for patient outcomes.
  • Salmonella pericarditis can be a rare but serious manifestation in immunocompromised hosts.

Keywords:
ECG, electrocardiogramLDH, lactate acid dehydrogenaseRV, right ventricularcardiac tamponadeclassical Hodgkin Lymphomamassive pericardial effusionsalmonellosis

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