A Case of Acute Purulent Pericarditis Complicated by Severe Left Ventricular Systolic Dysfunction and Cardiac Tamponade / 대한내과학회지
Korean Journal of Medicine
; : 221-226, 2012.
Article
de Ko
| WPRIM
| ID: wpr-741064
Bibliothèque responsable:
WPRO
ABSTRACT
An 85-year-old male visited our hospital because of dyspnea. Chest radiography showed marked cardiomegaly and pneumonic infiltration. Transthoracic echocardiography showed moderate pericardial effusion, which resulted in effusive constrictive pericarditis and severe left ventricular systolic dysfunction. During the hospital course, the patient developed cardiogenic shock and was treated with an inotropic agent and intra-aortic balloon pump. The patient's vital signs were stabilized after pericardiocentesis and drainage. A yellowish purulent pericardial effusion was drained and Streptococcus pneumoniae was isolated. Bacterial purulent pericarditis was not uncommon before the antibiotics era, but it is extremely rare nowadays. Here, we report a case of purulent bacterial pericarditis presenting with severe left ventricular systolic dysfunction and cardiac tamponade.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Épanchement péricardique
/
Péricardite
/
Péricardite constrictive
/
Choc cardiogénique
/
Streptococcus pneumoniae
/
Thorax
/
Échocardiographie
/
Tamponnade cardiaque
/
Drainage
/
Cardiomégalie
Limites du sujet:
Aged
/
Aged80
/
Humans
/
Male
langue:
Ko
Texte intégral:
Korean Journal of Medicine
Année:
2012
Type:
Article