免疫功能低下患者非包膜型流感嗜血杆菌所致化脓性心包炎的非手术治疗

Non-surgical treatment of purulent pericarditis, due to non-encapsulated Haemophilus influenzae, in an immunocompromised patient.

作者信息

Ligtenberg J J, van der Werf T S, Zijlstra J G, Tulleken J E, Fijen J W, Möller L V

机构信息

Department of Internal Medicine, State University Hospital, Groningen, The Netherlands.

出版信息

Neth J Med. 1999 Sep;55(3):151-4. doi: 10.1016/s0300-2977(99)00046-7.

DOI:10.1016/s0300-2977(99)00046-7

PMID:10509074

Abstract

A 59-year-old woman suffering from rheumatoid arthritis was admitted with pleural empyema and pericarditis due to non-encapsulated H. influenzae, and developed signs of cardiac tamponade. Purulent pericarditis resolved after ultrasound-guided percutaneous aspiration and systemic antimicrobial therapy. Serial echocardiographic examinations showed a slowly vanishing effusion. Long term follow-up revealed no evidence of pericardial constriction. This case illustrates that life-threatening purulent pericarditis in an immunocompromised patient may respond well to non-surgical treatment.

摘要

一名59岁患类风湿性关节炎的女性因非包膜型流感嗜血杆菌感染导致胸膜脓胸和心包炎入院，并出现心脏压塞体征。经超声引导下经皮穿刺抽吸和全身抗菌治疗后，脓性心包炎得以缓解。系列超声心动图检查显示积液逐渐消退。长期随访未发现心包缩窄迹象。该病例表明，免疫功能低下患者危及生命的脓性心包炎可能对非手术治疗反应良好。