由……引起的脓性心包炎导致的心包填塞
Cardiac Tamponade from Purulent Pericarditis due to .
作者信息
Farhat-Sabet Ardalon, Hull Robert, Thomas Dustin
机构信息
Department of Internal Medicine, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.
Department of Cardiology, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.
出版信息
Case Rep Cardiol. 2018 Nov 18;2018:4739830. doi: 10.1155/2018/4739830. eCollection 2018.
Purulent pericarditis is a potentially fatal disease with high mortality rates if untreated. (formerly ) is an anaerobic bacteria that is ubiquitous in skin flora and is commonly thought of as a culture contaminant; however, it does have pathogenic potential. We present a case of purulent pericarditis secondary to leading to cardiac tamponade. Initial stabilization and diagnosis were made via pericardiocentesis; afterward the patient underwent a pericardial window. Due to a severe penicillin allergy, he was successfully treated with a 14-day course of vancomycin. To our knowledge, this represents only the third published case of purulent pericarditis with cardiac tamponade caused by and the first case treated with a 14-day course of vancomycin.
化脓性心包炎是一种潜在的致命疾病，若不治疗死亡率很高。（以前）是一种厌氧细菌，在皮肤菌群中普遍存在，通常被认为是培养污染物；然而，它确实具有致病潜力。我们报告一例继发于导致心脏压塞的化脓性心包炎病例。通过心包穿刺术进行初步稳定和诊断；之后患者接受了心包开窗术。由于严重的青霉素过敏，他成功接受了为期14天的万古霉素治疗。据我们所知，这是仅有的第三例由引起心脏压塞的化脓性心包炎的已发表病例，也是第一例接受为期14天万古霉素治疗的病例。
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