[Case report: Purulent pericarditis caused by candida species--a rare but life-threatening disease in intensive care medicine]. / Kasuistik: Die purulente Candida-Perikarditis--Ein seltenes, aber lebensbedrohliches Krankheitsbild in der Intensivmedizin.

ABSTRACT

We report a case of a male patient with drug abuse in his medical history who was hospitalized because of a community acquired pneumonia. Subsequently the patient developed an acute lung injury (ARDS) and a fulminant purulent pericarditis accompanied by a pericardial effusion. Caused by the pericardial tamponade cardiac function was severely restricted. Due to fast diagnosis and immediate adequate therapy such as systemic anti-fungal treatment, pericardiocentesis, percutaneous drainage, and later surgical intervention the patient was treated successfully. This article describes etiology, pathophysiology and symptoms of purulent Candida-pericarditis and gives a review of existing literature regarding this extremely rare disease. In addition therapeutic options are discussed.