Crellin A M, Shareef D S, Maher E J
Regional Centre for Radiotherapy and Oncology, Mount Vernon Hospital, Northwood, Middlesex, UK.
Postgrad Med J. 1990 Mar;66(773):203-4. doi: 10.1136/pgmj.66.773.203.
A case is described of pericardial effusion due to Listeria monocytogenes infection in a woman with advanced carcinoma of the cervix, rheumatoid arthritis and on corticosteroid therapy. Focal infection with listeria in immunocompromised adults has a high mortality unless promptly diagnosed. The correct diagnosis may have been made if an unexplained pericardial effusion had been tapped.
本文描述了一例因单核细胞增生李斯特菌感染导致心包积液的病例,患者为一名患有晚期宫颈癌、类风湿性关节炎且正在接受皮质类固醇治疗的女性。免疫功能低下的成年人发生李斯特菌局部感染时,若不及时诊断,死亡率很高。如果对不明原因的心包积液进行穿刺,或许就能做出正确诊断。