ABSTRACT
Cardiac tamponade constitutes an exceptional form of actinomycosis. We describe a case of primary hepatic actinomycosis presenting as purulent pericarditis with cardiac tamponade in a 20-year-old patient with previous esophagectomy and colonic interposition, successfully managed by computed tomography-guided percutaneous drainage and a prolonged course of antibiotic treatment. Actinomyces israelii was identified in the pericardial fluid by 16S rRNA gene sequencing. The literature on the simultaneous presentation of cardiac and hepatic actinomycosis is reviewed.
Subject(s)
Actinomyces/isolation & purification , Actinomycosis/therapy , Cardiac Tamponade/microbiology , Pericarditis/microbiology , Actinomyces/genetics , Actinomycosis/diagnosis , Actinomycosis/drug therapy , Actinomycosis/microbiology , Amoxicillin/therapeutic use , Anti-Bacterial Agents/therapeutic use , Cardiac Tamponade/diagnosis , Cardiac Tamponade/drug therapy , Cardiac Tamponade/therapy , Cardiovascular Infections/drug therapy , Cardiovascular Infections/microbiology , Cardiovascular Infections/therapy , Clavulanic Acid/therapeutic use , Drainage , Humans , Liver Abscess, Pyogenic/drug therapy , Liver Abscess, Pyogenic/microbiology , Liver Abscess, Pyogenic/therapy , Male , Pericardial Effusion/drug therapy , Pericardial Effusion/microbiology , Pericardial Effusion/therapy , Pericarditis/diagnosis , Pericarditis/drug therapy , Pericarditis/therapy , RNA, Ribosomal, 16S/analysis , Rare Diseases , Sequence Analysis, RNA , Tomography, X-Ray Computed , Treatment Outcome , Young AdultABSTRACT
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Subject(s)
Humans , Male , Adult , Arteriovenous Malformations/complications , Brain Abscess/etiology , Telangiectasia, Hereditary Hemorrhagic/complications , Tomography, X-Ray ComputedABSTRACT
Inflammatory bowel disease commonly affects women with child-bearing potential, and clinical activity extent is most relevant at the time of conception. Below, we report on the case of a 19-year-old woman who was admitted for first-trimester metrorrhagia and fever, with various extraintestinal manifestations, mainly including erythema nodosum and episcleritis during the course of disease. The differential diagnosis of these manifestations led to the diagnosis of Crohn's disease, which involved the whole colon.
Subject(s)
Crohn Disease/diagnosis , Pregnancy Complications/diagnosis , Adult , Crohn Disease/complications , Female , Fever/etiology , Humans , Metrorrhagia/etiology , Pregnancy , Pregnancy Trimester, FirstABSTRACT
La enfermedad inflamatoria intestinal afecta frecuentemente a mujeres en edad fértil, siendo fundamental el grado de actividad clínica en el momento de la concepción. A continuación se presenta el caso de una mujer de 19 años que ingresa por metrorragia del primer trimestre y fiebre; destacando durante su evolución la aparición de diferentes manifestaciones extraintestinales, fundamentalmente eritema nodoso y epiescleritis. A través del diagnóstico diferencial de estas manifestaciones se llegó al diagnóstico de una enfermedad de Crohn que afectaba a todo el colon