| Purulent pericarditis due to group B streptococcus and mycotic aneurysm of the ascending aorta: case report. | |
| | |
MedLine Citation:
|
PMID: 10651213 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 61-year-old female, with a history of uterine and cervical cancer treated with radical hysterectomy and 2 years of postoperative chemotherapy, presented to the emergency department with dyspnea on exertion. Computed tomography of the chest revealed a large pericardial effusion and a sacciform aneurysm of the ascending aorta. The patient subsequently underwent emergency pericardiocentesis with drainage of approximately 330 ml of a bloody and turbid effusion. Cultures from the effusion yielded group B streptococcus. Multiple organ failure and disseminated intravascular coagulation syndrome occurred in the acute phase, but gradually improved with continuous antibiotic therapy. On the 194th hospital day, in situ reconstruction of the ascending aorta was successfully performed using a synthetic graft. Although rarely reported, both purulent bacterial pericarditis and mycotic aneurysm can be life-threatening. |
| | |
Authors:
|
Y Akashi; Y Ikehara; A Yamamoto; N Suzuki; N Osada; N Matsumoto; M Sakakibara; H Tochiki; K Tanabe; S Nobuoka; F Miyake; M Murayama; H Abe; M Ikeshita; N Yamate; M Kaku; J Shimada |
Related Documents
:
|
11151733 - Csf shunts 50 years on--past, present and future. 9741493 - Left ventricular pseudoaneurysm. 21924273 - The coronary circulation and blood flow in left ventricular hypertrophy. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Japanese circulation journal Volume: 64 ISSN: 0047-1828 ISO Abbreviation: Jpn. Circ. J. Publication Date: 2000 Jan |
Date Detail:
|
Created Date: 2000-02-14 Completed Date: 2000-02-14 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7806868 Medline TA: Jpn Circ J Country: AUSTRALIA |
Other Details:
|
Languages: eng Pagination: 83-6 Citation Subset: IM |
Affiliation:
|
The Second Department of Internal Medicine, St Marianna University School of Medicine, Kawasaki, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aneurysm, Infected
/
diagnosis*,
surgery Anti-Bacterial Agents / therapeutic use Aortic Aneurysm, Abdominal / diagnosis*, surgery Disseminated Intravascular Coagulation Female Humans Middle Aged Multiple Organ Failure Pericardial Effusion Pericardiocentesis Pericarditis / complications, microbiology*, therapy Streptococcal Infections / complications*, therapy Streptococcus agalactiae* / isolation & purification Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Transesophageal echocardiographic observation of multiple myeloma involving the pericardium: a case ...
Next Document: Acute renal failure in the new millennium: time to consider combination therapy.