Doig J C, Ferner R E, Reid D S
Department of Cardiology, Freeman Hospital, Newcastle upon Tyne.
Br J Clin Pract. 1993 May-Jun;47(3):162-3.
A 62-year-old lady who was receiving corticosteroids for rheumatoid arthritis was admitted suffering from dehydration due to salmonella enteritis. Despite rehydration and appropriate chemotherapy she remained unwell and developed hypotension and elevation of her jugular venous pressure. Echocardiography and subsequent aspiration demonstrated a purulent pericardial effusion from which S typhimurium was cultured. Following aspiration and a change of antibiotic therapy, her condition improved dramatically.
一位因类风湿关节炎正在接受皮质类固醇治疗的62岁女性,因沙门氏菌肠炎导致脱水而入院。尽管进行了补液和适当的化疗,她仍感觉不适,并出现了低血压和颈静脉压升高。超声心动图检查及随后的穿刺显示有脓性心包积液,从中培养出鼠伤寒沙门氏菌。经过穿刺和更换抗生素治疗后,她的病情显著改善。