Johari Muhamad Izzad, Besari Alwi Muhd, Wan Ghazali Wan Syamimee, Yusof Zurkurnai
Internal Medicine, University Sains Malaysia-Health Campus, Kubang Kerian, Kelantan, Malaysia.
Infectious Disease, University Sains Malaysia-Health Campus, Kubang Kerian, Kelantan, Malaysia.
BMJ Case Rep. 2019 May 9;12(5):e226337. doi: 10.1136/bcr-2018-226337.
A 47-year-old Malay man who presented with fever, poor oral intake and loss of weight for 1 month duration. Further work-up revealed evidence of disseminated infection that was further complicated with pericardial and pleural empyema. Cultures from pericardial and pleural fluids grew species with negative serial blood cultures. Contrast enhanced CT thorax showed pleural effusion with large pericardial effusion. The patient was treated with antibiotics and drainage of pericardial and pleural empyema was done and he was discharged well.
一名47岁的马来男子，出现发热、进食差和体重减轻1个月。进一步检查发现有播散性感染的证据，并发心包和胸膜积脓。心包和胸腔积液培养出细菌，而连续血培养结果为阴性。胸部增强CT显示胸腔积液伴大量心包积液。患者接受了抗生素治疗，并进行了心包和胸膜积脓引流，出院时情况良好。
