Yamagami Kan, Tanaka Yoshihiro, Tada Hayato, Fujii Hiroshi, Takamura Masayuki, Kawashiri Masa-Aki
Department of Cardiology, Kanazawa University Graduate School of Medicine, Japan.
Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, USA.
Intern Med. 2019 Nov 1;58(21):3103-3106. doi: 10.2169/internalmedicine.2994-19. Epub 2019 Jul 10.
We herein report the first case of purulent pericarditis associated with aortic stent-graft infection in an 80-year-old Japanese man that was caused by methicillin-susceptible Staphylococcus aureus, which appropriate antibiotics failed to treat. The detailed clinical course and autopsy images revealed that purulent pericarditis associated with aortic stent-graft infection caused cardiac tamponade and eventually led to mortality. We therefore suggest that surgical procedures, including drainage, should be introduced for such cases.
我们在此报告首例80岁日本男性发生的与主动脉覆膜支架感染相关的化脓性心包炎,该感染由对甲氧西林敏感的金黄色葡萄球菌引起,使用适当抗生素治疗无效。详细的临床病程及尸检图像显示,与主动脉覆膜支架感染相关的化脓性心包炎导致了心脏压塞并最终致死。因此,我们建议对此类病例应采用包括引流在内的外科手术治疗。