化脓性肝脓肿所致脓性心包炎伴心脏压塞：一例报告
Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report.
作者信息
Steffen Carolin, Sägmüller Josef, Schöneburg Dominique, Göncz Eva, Möckel Martin, Ott Sascha, Ungur Alexander Lavinius, O 'Brien Benjamin
机构信息
Charité - Universitätsmedizin Berlin, Department of Anesthesiology and Operative Intensive Care Medicine, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Department of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité - Medical Heart Center of Charité and German Heart Institute Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
出版信息
J Med Case Rep. 2025 Jan 8;19(1):7. doi: 10.1186/s13256-024-05014-z.
INTRODUCTION
Purulent bacterial pericarditis is a potentially fatal disease with mortality rates reaching 100% if left untreated.
CASE PRESENTATION
We present the case of a 33-year-old Caucasian male patient who developed cardiac tamponade, most likely caused by a pyogenic liver abscess communicating with the pericardium. Treatment with antibiotics, extended sepsis therapy, and drainage of the abscess led to a full recovery.
CONCLUSION
This report describes a rare but potentially fatal differential diagnosis of aortic dissection and serves as a reminder that lives abscesses can manifest unexpectedly. Clinical signs and symptoms of tamponade can be mistaken as sepsis. In this particular case, the combination of a septic abscess and tamponade caused by pyopericardium posed a diagnostic challenge.
引言
化脓性细菌性心包炎是一种潜在的致命疾病，若不治疗，死亡率可达100%。
病例介绍
我们报告一例33岁的白种男性患者，该患者发生了心脏压塞，很可能是由与心包相通的化脓性肝脓肿所致。抗生素治疗、延长的脓毒症治疗以及脓肿引流使患者完全康复。
结论
本报告描述了一种罕见但可能致命的主动脉夹层鉴别诊断，并提醒人们肝脓肿可能会意外表现出来。心包填塞的临床体征和症状可能被误诊为脓毒症。在这个特殊病例中，由脓性心包炎引起的感染性脓肿和心包填塞的组合构成了诊断挑战。
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