Fatal acute purulent pericarditis in a patient with renal transplant: a case report.
Exp Clin Transplant
; 7(1): 62-5, 2009 Mar.
Article
em En
| MEDLINE
| ID: mdl-19364316
ABSTRACT
OBJECTIVES:
Acute purulent pericarditis is a lifethreatening disease, although it is becoming uncommon in the era of antibiotics. MATERIALS ANDMETHODS:
We present a case of fatal acute massive purulent pericarditis in a kidney transplant recipient.RESULTS:
A 46-year-old woman had an unrelated commercial renal transplant in 2003. She had a history of diabetes mellitus and hepatitis C infection. Kaposi sarcoma developed in the posttransplant period. Her last admission was prompted by the development of acute rejection confirmed by transplant biopsy, and she was treated with intravenous methylprednisolone. Three days before her death, thrombophlebitis of the right forearm was noted. We postulate that this could have been the source of the fulminant purulent pericarditis, as the organism in the pericardial fluid was Staphylococcus aureus, a common pathogen in thrombophlebitis. She was initially resuscitated after cardiac arrest but died shortly after.CONCLUSIONS:
Severe purulent pericarditis in the immunocompromised patient can occur abruptly. The source of infection may show minimal signs and symptoms. Thrombophlebitis and other apparently minor infections should not be overlooked in such patients.
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Base de dados:
MEDLINE
Assunto principal:
Derrame Pericárdico
/
Pericardite
/
Staphylococcus aureus
/
Tromboflebite
/
Transplante de Rim
/
Infecções Relacionadas a Cateter
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Exp Clin Transplant
Assunto da revista:
TRANSPLANTE
Ano de publicação:
2009
Tipo de documento:
Article