Case report of an unusual combination of purulent pericarditis and false aneurysm of the ascending aorta.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_DA762EF03F1E
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Case report of an unusual combination of purulent pericarditis and false aneurysm of the ascending aorta.
Journal
Journal of cardiothoracic surgery
Author(s)
Meier D., Kirsch M., Qanadli S.D., Muller O., Fishman D., Trana C.
ISSN
1749-8090 (Electronic)
ISSN-L
1749-8090
Publication state
Published
Issued date
29/01/2018
Peer-reviewed
Oui
Volume
13
Number
1
Pages
15
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Review
Publication Status: epublish
Abstract
Purulent pericarditis is an uncommon entity, which is, in very rare cases, associated to infection of the aorta.
We present the case of a 42-year-old male patient, who was admitted to hospital complaining of tiredness, diarrhea and leg edema. Clinical examination revealed a hypotensive and obviously shocked patient. He was ultimately diagnosed with a rare combination of purulent pericarditis followed by false aneurysm of the ascending aorta. He was successfully treated by surgical pericardial drainage, replacement of the ascending aorta and antibiotics.
Mycotic aneurysms can rarely be associated with purulent pericarditis. Our literature review shows that there are two mechanisms explaining this association and that in most of the published cases infective endocarditis could not be demonstrated.
Keywords
Adult, Aneurysm, False/complications, Aneurysm, False/therapy, Aneurysm, Infected/complications, Aneurysm, Infected/therapy, Anti-Bacterial Agents/therapeutic use, Aorta, Drainage, Humans, Male, Pericarditis/complications, Pericarditis/therapy, Staphylococcal Infections/complications, Staphylococcal Infections/therapy, Ascending aorta, Infected aneurysm, Purulent pericarditis
Pubmed
Web of science
Open Access
Yes
Create date
01/02/2018 19:23
Last modification date
20/08/2019 16:59
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