Abdelnabi Mahmoud, Almaghraby Abdallah, Saleh Yehia, El Sayed Alyaa, Rizk Judy
Cardiology and Angiology Unit, Clinical and Experimental Internal Medicine Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Cardiology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Proc (Bayl Univ Med Cent). 2021 Mar 5;34(4):498-499. doi: 10.1080/08998280.2021.1889297.
Purulent pericarditis is rare, and the mortality rate is very high. Conservative management consists of pericardial drainage and antibiotic therapy. We report a case of purulent pericarditis on top of chest infection in a man presenting with dyspnea, productive cough, fever, and hypotension. Echocardiography revealed a large pericardial effusion with signs of tamponade. He was treated with pericardiocentesis along with intrapericardial fibrinolysis with streptokinase and intrapericardial and systemic antibiotics. A year later, there was no sign of constriction.
化脓性心包炎较为罕见，死亡率很高。保守治疗包括心包引流和抗生素治疗。我们报告一例男性患者，在胸部感染基础上发生化脓性心包炎，表现为呼吸困难、咳痰、发热和低血压。超声心动图显示大量心包积液并有心包填塞征象。患者接受了心包穿刺术，同时心包内注射链激酶进行纤维蛋白溶解治疗，并给予心包内及全身抗生素治疗。一年后，无缩窄迹象。
