Purulent Pericarditis after Liver Abscess: A Case Report

We present the case of a 49-year-old woman, with previous clinical antecedents of recent hepatic metastasis, who was admitted to the ICU due to respiratory failure and hemodynamic instability. She was found to have purulent pericarditis complicated by pericardial tamponade and pleural effusion, as w...

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Main Authors: María Fidalgo García, Juan Carlos Rodríguez Sanjuán, María Riaño Molleda, Marta González Andaluz, Hector Real Noval, Manuel Gómez Fleitas
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2014/735478
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author María Fidalgo García
Juan Carlos Rodríguez Sanjuán
María Riaño Molleda
Marta González Andaluz
Hector Real Noval
Manuel Gómez Fleitas
author_facet María Fidalgo García
Juan Carlos Rodríguez Sanjuán
María Riaño Molleda
Marta González Andaluz
Hector Real Noval
Manuel Gómez Fleitas
author_sort María Fidalgo García
collection DOAJ
description We present the case of a 49-year-old woman, with previous clinical antecedents of recent hepatic metastasis, who was admitted to the ICU due to respiratory failure and hemodynamic instability. She was found to have purulent pericarditis complicated by pericardial tamponade and pleural effusion, as well as surgical site infection, which was the origin of the disease. Cultures of the surgical wound and the pericardial effusion were positive for Enterococcus faecalis and Escherichia coli. A pericardial tap was performed and the intra-abdominal abscess was surgically drained. Pleural effusion was also evacuated. She received antibiotic treatment and recovered successfully. The only after-effect was a well-tolerated effusive-constrictive pericarditis.
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publishDate 2014-01-01
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series Case Reports in Medicine
spelling doaj-art-02733965bbd94fa88135bf64fe0853d32025-02-03T01:00:54ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/735478735478Purulent Pericarditis after Liver Abscess: A Case ReportMaría Fidalgo García0Juan Carlos Rodríguez Sanjuán1María Riaño Molleda2Marta González Andaluz3Hector Real Noval4Manuel Gómez Fleitas5General Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, SpainGeneral Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, SpainGeneral Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, SpainGeneral Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, SpainGeneral Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, SpainGeneral Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, SpainWe present the case of a 49-year-old woman, with previous clinical antecedents of recent hepatic metastasis, who was admitted to the ICU due to respiratory failure and hemodynamic instability. She was found to have purulent pericarditis complicated by pericardial tamponade and pleural effusion, as well as surgical site infection, which was the origin of the disease. Cultures of the surgical wound and the pericardial effusion were positive for Enterococcus faecalis and Escherichia coli. A pericardial tap was performed and the intra-abdominal abscess was surgically drained. Pleural effusion was also evacuated. She received antibiotic treatment and recovered successfully. The only after-effect was a well-tolerated effusive-constrictive pericarditis.http://dx.doi.org/10.1155/2014/735478
spellingShingle María Fidalgo García
Juan Carlos Rodríguez Sanjuán
María Riaño Molleda
Marta González Andaluz
Hector Real Noval
Manuel Gómez Fleitas
Purulent Pericarditis after Liver Abscess: A Case Report
Case Reports in Medicine
title Purulent Pericarditis after Liver Abscess: A Case Report
title_full Purulent Pericarditis after Liver Abscess: A Case Report
title_fullStr Purulent Pericarditis after Liver Abscess: A Case Report
title_full_unstemmed Purulent Pericarditis after Liver Abscess: A Case Report
title_short Purulent Pericarditis after Liver Abscess: A Case Report
title_sort purulent pericarditis after liver abscess a case report
url http://dx.doi.org/10.1155/2014/735478
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