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Endogenous Purulent Pericarditis Due to Klebsiella aerogenes in a Patient With Traumatic Chest Injury: A Case Report.
Kim, Gi Eun; Ansari, Soubiya; Andrews, Gabriala N; Sasi, Sreethish; Kolleri, Jouhar; Abdallah, Tasneem A; Hassan, Ibrahim F; Al Maslamani, Muna.
Afiliação
  • Kim GE; Internal Medicine, Hamad General Hospital, Doha, QAT.
  • Ansari S; Internal Medicine, Hamad General Hospital, Doha, QAT.
  • Andrews GN; Internal Medicine, Hamad General Hospital, Doha, QAT.
  • Sasi S; Infectious Diseases, Hamad Medical Corporation, Doha, QAT.
  • Kolleri J; Radiology, Hamad Medical Corporation, Doha, QAT.
  • Abdallah TA; Infectious Diseases, Hamad Medical Corporation, Doha, QAT.
  • Hassan IF; Critical Care Medicine, Hamad General Hospital, Doha, QAT.
  • Al Maslamani M; Infectious Diseases, Hamad Medical Corporation, Doha, QAT.
Cureus ; 16(1): e52378, 2024 Jan.
Article em En | MEDLINE | ID: mdl-38361706
ABSTRACT
Purulent pericarditis is a rare but serious medical condition caused by an infection that spreads to the pericardial space surrounding the heart. Gram-positive organisms are the most common pathogens associated with purulent pericarditis. However, there has been a shift in recent years toward gram-negative bacteria. Klebsiella aerogenes is a rare pathogen that has never been linked to purulent pericarditis. In this report, we describe the case of a 40-year-old male patient with chronic bronchiectasis who, two months after suffering an injury, developed purulent pericarditis due to an uncommon organism, K. aerogenes. During his stay in the hospital, the patient developed several infections caused by K. aerogenes. These included bacteremia and ventilator-associated pneumonia (VAP). Beta-lactamase-inducible K. aerogenes was grown in pericardial fluid culture following an emergency pericardiocentesis. The organism was resistant to carbapenems in a sputum culture, even though it was sensitive to meropenem in a blood culture. The patient had hypotension, requiring inotropes, and continued persistent bacteremia due to K. aerogenes. The patient had a heart attack with no pulse or electrical activity and died despite getting the best care possible. In light of this example, it is crucial to think about K. aerogenes and other rare organisms as possible pathogens in purulent pericarditis, especially in people who do not normally have known risk factors for this condition. Multidrug resistance patterns can make treatment more complicated, and aggressive care may be necessary in critically ill patients with chronic bacteremia.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Cureus Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Cureus Ano de publicação: 2024 Tipo de documento: Article