表现为心脏压塞的大量脓性心包炎。
Massive purulent pericarditis presenting as cardiac tamponade.
作者信息
Latif Azka, Patel Apurva D, Mahfood Haddad Toufik, Lokhande Chetan, Del Core Michael, Esterbrooks Dennis
机构信息
Department of Internal Medicine, CHI Health, Creighton University, Omaha, Nebraska.
Department of Cardiology, CHI Health, Creighton University, Omaha, Nebraska.
出版信息
Proc (Bayl Univ Med Cent). 2020 Jul 9;33(4):662-663. doi: 10.1080/08998280.2020.1783985.
Abstract
Acute bacterial pericarditis is rarely encountered in the modern antibiotic era. Purulent pericarditis is a serious form of bacterial pericarditis with high mortality. It can rapidly progress to cardiac tamponade, leading to hemodynamic instability, septic shock, and death if left untreated. Here we present a case of massive purulent pericarditis with cardiac tamponade that was successfully managed with intravenous antibiotics and drainage in a young immunocompetent man.
摘要
在现代抗生素时代，急性细菌性心包炎很少见。脓性心包炎是细菌性心包炎的一种严重形式，死亡率很高。它可迅速发展为心脏压塞，如果不治疗，会导致血流动力学不稳定、感染性休克和死亡。在此，我们报告一例发生心脏压塞的大量脓性心包炎病例，该病例在一名年轻免疫功能正常男性中通过静脉使用抗生素和引流成功得到治疗。
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