Bakhriansyah Jordan, Semita I Gede Parama Gandi, Suryawan I Gde Rurus, Azmi Yusuf, Sanjaya Irfan Deny, Ikawaty Risma, Nugraha David, Alkaff Firas Farisi
Faculty of Medicine, Universitas Surabaya, Jalan Raya Rungkut, Surabaya 60293, East Java, Indonesia.
Department of Cardiology and Vascular Medicine, Husada Utama Hospital, Surabaya, Indonesia.
Radiol Case Rep. 2022 Aug 17;17(10):3996-4000. doi: 10.1016/j.radcr.2022.07.099. eCollection 2022 Oct.
Thymoma is the most common primary anterior mediastinum mass with various clinical manifestations, and one of the manifestations is pericardial effusion. While pericardial effusion in thymoma is usually serous, it can become purulent when an infection occurs in a nearby organ, albeit rare. In this report, we present a rare case of a 27-year-old woman who had purulent pericarditis secondary to an advanced thymoma. The patient came to the emergency department with the chief complaints of worsening chest discomfort, non-productive cough, and fever in the past 2 weeks. The patient was diagnosed with thymoma 5 months prior. Based on the examinations, it was discovered that the patient had pericarditis. After the pericardiocentesis was performed and the fluid was examined, the patient was diagnosed with purulent pericarditis secondary to thymoma. The patient was then treated with intravenous antibiotic and pericardial drain. Unfortunately, the patient's condition deteriorated, and the patient died on the fifth day of hospitalization. This case highlights an infrequent but potentially life-threatening complication of thymoma. In addition, thymic pathologies should be included as a rare etiology in the differential diagnosis of purulent pericardial effusion.
胸腺瘤是前纵隔最常见的原发性肿块，临床表现多样，心包积液是其中一种表现。虽然胸腺瘤引起的心包积液通常为浆液性，但当附近器官发生感染时可变为脓性，不过这种情况较为罕见。在本报告中，我们介绍了一例罕见病例，一名27岁女性因晚期胸腺瘤继发脓性心包炎。患者因过去2周胸部不适加重、干咳和发热为主诉前来急诊科就诊。该患者5个月前被诊断为胸腺瘤。经检查发现患者患有心包炎。在进行心包穿刺并对抽出液进行检查后，患者被诊断为胸腺瘤继发脓性心包炎。随后患者接受了静脉抗生素治疗和心包引流。不幸的是，患者病情恶化，于住院第五天死亡。该病例突出了胸腺瘤一种罕见但可能危及生命的并发症。此外，在脓性心包积液的鉴别诊断中，胸腺病变应作为一种罕见病因纳入考虑。
