RESUMO
Fungal pericarditis, a rare clinical presentation primarily observed in post-cardiothoracic surgery and immunocompromised patients, requires prompt recognition and effective treatment involving antifungal medications and surgical drainage. We report the case of a 40-year-old female initially diagnosed with infective endocarditis who progressed to cardiac tamponade. Timely surgical drainage significantly improved the patient's clinical status and revealed fungal pericarditis through pathological analysis. This case highlights the importance of considering the diagnosis of fungal pericarditis even in the absence of prior cardiothoracic surgical intervention and emphasizes the crucial role of both intravenous antifungal therapy and surgical drainage in its treatment.
Assuntos
Infecções por Coronavirus/terapia , Cuidados Críticos , Alocação de Recursos para a Atenção à Saúde/métodos , Pneumonia Viral/terapia , Triagem/métodos , Betacoronavirus , COVID-19 , Infecções por Coronavirus/mortalidade , Ética Médica , Alocação de Recursos para a Atenção à Saúde/ética , Política de Saúde , Humanos , Unidades de Terapia Intensiva , Escores de Disfunção Orgânica , Cuidados Paliativos , Pandemias , Planejamento de Assistência ao Paciente , Seleção de Pacientes/ética , Pneumonia Viral/mortalidade , Anos de Vida Ajustados por Qualidade de Vida , SARS-CoV-2 , Saskatchewan , Taxa de Sobrevida , Triagem/éticaRESUMO
This editorial, "Internal Medicine Point of Care Ultrasound: Indicators It's Here to Stay" (DOI: 10.1007/s11606-019-05268-0), was intended to accompany "Education Indicators for Internal Medicine Point-of-Care Ultrasound: a Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS) Group".
RESUMO
OBJECTIVE: To achieve national consensus on standards of training, quality assurance and maintenance of competence for critical care ultrasound for intensivists and critical care trainees in Canada using recently published international training statements. DATA SOURCES: Existing internationally endorsed guidelines and expert opinion. DATA SYNTHESIS: In November 2013, a day-long consensus meeting was held with 15 Canadian experts in critical care ultrasound in which essential topics relevant to training ultrasound were discussed. CONCLUSIONS: Consensus was achieved to direct training curriculum, oversight, quality assurance and maintenance of competence for critical care ultrasound. In providing the first national guideline of its kind, these Canadian recommendations may also serve as a model of critical care ultrasound dissemination for other countries.
