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超越肺炎:一例罕见的由肺炎链球菌引起的心包积脓病例。

Beyond Pneumonia: A Rare Case of Pericardial Empyema Caused by Streptococcus pneumoniae.

作者信息

Ashok Harish, Manuel Reginald, Ahmed Bushra, Lim Roy, Monsalve Reejeen

机构信息

Internal Medicine, Ross University School of Medicine, Barbados, USA.

Internal Medicine, Mount Sinai Hospital, Chicago, USA.

出版信息

Cureus. 2023 Jun 15;15(6):e40450. doi: 10.7759/cureus.40450. eCollection 2023 Jun.

Abstract

Purulent pericardial effusion is a rare but potentially deadly condition that demands immediate medical attention. When left untreated, it can have catastrophic consequences. While bacterial infection is the most common cause of this condition, it usually occurs in individuals with weakened immune systems or in those undergoing dialysis or thoracic surgery. This case report presented here is unique as it chronicles the uncommon experience of a 58-year-old male with a normally functioning immune system who suffered from purulent pericardial effusion, endocarditis, and pneumonia, all linked to septic arthritis of his knee caused by . The diagnosis and management of this condition require a swift and comprehensive approach, and any delay in treatment can have dire outcomes. This case highlights the significance of early detection and prompt treatment of purulent pericardial effusion to prevent severe complications and improve patient prognosis.

摘要

脓性心包积液是一种罕见但可能致命的疾病,需要立即就医。如果不进行治疗,可能会产生灾难性后果。虽然细菌感染是这种疾病最常见的病因,但通常发生在免疫系统较弱的个体或正在接受透析或胸外科手术的患者身上。此处呈现的这份病例报告很独特,因为它记录了一名58岁免疫系统功能正常的男性患脓性心包积液、心内膜炎和肺炎的罕见经历,所有这些都与由……引起的膝关节化脓性关节炎有关。这种疾病的诊断和治疗需要迅速而全面的方法,治疗上的任何延迟都可能产生可怕的后果。本病例突出了早期发现和及时治疗脓性心包积液对于预防严重并发症和改善患者预后的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22d5/10349361/d90c500cc07b/cureus-0015-00000040450-i01.jpg

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