Meier David, Kirsch Matthias, Qanadli Salah Dine, Muller Olivier, Fishman Daniel, Trana Catalina
Department of Internal Medicine, University Hospital of Lausanne, Lausanne, Switzerland.
Service of Cardiovascular Surgery, University Hospital of Lausanne, Lausanne, Switzerland.
J Cardiothorac Surg. 2018 Jan 29;13(1):15. doi: 10.1186/s13019-018-0699-4.
Purulent pericarditis is an uncommon entity, which is, in very rare cases, associated to infection of the aorta.
We present the case of a 42-year-old male patient, who was admitted to hospital complaining of tiredness, diarrhea and leg edema. Clinical examination revealed a hypotensive and obviously shocked patient. He was ultimately diagnosed with a rare combination of purulent pericarditis followed by false aneurysm of the ascending aorta. He was successfully treated by surgical pericardial drainage, replacement of the ascending aorta and antibiotics.
Mycotic aneurysms can rarely be associated with purulent pericarditis. Our literature review shows that there are two mechanisms explaining this association and that in most of the published cases infective endocarditis could not be demonstrated.
脓性心包炎是一种罕见病症，在极少数情况下与主动脉感染相关。
我们报告一例42岁男性患者，因疲劳、腹泻和腿部水肿入院。临床检查发现患者血压低且明显休克。他最终被诊断为脓性心包炎合并升主动脉假性动脉瘤这一罕见组合。通过心包切开引流术、升主动脉置换术及抗生素治疗，他获得成功治愈。
霉菌性动脉瘤很少与脓性心包炎相关。我们的文献综述表明，有两种机制可解释这种关联，且在大多数已发表病例中无法证实存在感染性心内膜炎。
