General Medicine, Mater Dei Hospital, Msida, Malta
Diabetes and Endocrinology, Mater Dei Hospital, Msida, Malta.
BMJ Case Rep. 2021 Jan 20;14(1):e236704. doi: 10.1136/bcr-2020-236704.
We report a case of a 42-year-old man who presented with acute epigastric and retrosternal chest pain and exertional dyspnoea, and was subsequently diagnosed with polyserositis secondary to post- infection. A CT scan showed a large pericardial effusion requiring pericardiocentesis, small bilateral pleural effusions and small amount of ascites. Several serological tests were done, which were all found to be normal. Pericardial and pleural fluid aspirates revealed an exudate. Culture of the pleural fluid yielded growth of and this was deemed the cause of the polyserositis, which is rare. The patient made a spontaneous recovery. He was started on colchicine by the cardiologists to help prevent pericardial fluid recurrence and this was continued for 3 months. A dental review confirmed the presence of dental caries, the possible source of infection. On follow-up, the patient remained well with no further relapses.
我们报告了 1 例 42 岁男性，因急性上腹痛和胸骨后胸痛以及劳力性呼吸困难就诊，随后诊断为感染后多浆膜炎。CT 扫描显示大量心包积液需要心包穿刺，双侧少量胸腔积液和少量腹水。进行了多项血清学检查，均未见异常。心包和胸腔积液抽吸显示渗出物。胸腔液培养发现生长，这被认为是多浆膜炎的原因，这种情况很少见。患者自行康复。心内科医生开始给他服用秋水仙碱以帮助预防心包积液复发，并持续服用 3 个月。牙科检查证实存在龋齿，这可能是感染源。随访时，患者情况良好，无进一步复发。
