Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan.
J Cardiol. 2008 Jun;51(3):201-4. doi: 10.1016/j.jjcc.2007.12.004. Epub 2008 May 7.
A 65-year-old man was admitted for high-grade fever with a shaking chill and general fatigue. Chest X-ray showed cardiomegaly, and echocardiography revealed a large amount of pericardial effusion. Emergency pericardiocentesis was performed, and Salmonella enteritidis was found in pericardial fluids. We diagnosed purulent pericarditis with S. enteritidis, and administered antibiotics. While high-grade fever resolved 10 days after beginning of treatment, effusive-constrictive pericarditis (ECP) without definite symptoms persisted for 2 months. Because of the improvement of his hemodynamic states on cardiac catheterization after 1 year, an operative procedure was not required. He was diagnosed as having CD4/CD8 depression without apparent diseases. There are few reports of pericarditis with S. enteritidis, and we believe this case might be only the second recorded case of ECP with S. enteritidis.
一位 65 岁男性因高热寒战和全身乏力入院。胸部 X 光显示心脏增大，超声心动图显示大量心包积液。紧急心包穿刺，在心包液中发现肠炎沙门氏菌。我们诊断为化脓性心包炎合并肠炎沙门氏菌感染，并给予抗生素治疗。虽然治疗开始后 10 天高热消退，但无明显症状的渗出缩窄性心包炎持续了 2 个月。由于 1 年后心导管检查时血流动力学状态改善，无需手术。他被诊断为 CD4/CD8 抑制，无明显疾病。肠炎沙门氏菌引起的心包炎少见，我们认为本例可能是仅有第二例肠炎沙门氏菌引起的渗出缩窄性心包炎。
