Purulent pericarditis and Pasteurella multocida: An extremely rare combination Article Swipe
Raquel Ferreira
,
José Luís Martins
,
Tiago Adrega
,
Sara Pinto
,
Sofia Nunes
,
Rita Pancas
,
Anabela Gonzaga
,
José Santos
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1016/j.repce.2017.03.010
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1016/j.repce.2017.03.010
Purulent pericarditis is a rare entity, defined as the presence of neutrophilic pericardial effusion which is infected by a bacterial, fungus or parasite agent. The diagnosis can be challenging, especially if patients have taken previous antibiotic therapy; on the other hand the recognition of this pathology is often made late, with the onset of severe symptoms or signs of cardiac tamponade or even only at the autopsy. The authors describe the case of a 82-year-old woman with history of extensive laceration of the right lower limb from a dog bite in July 2016, admitted to the Cardiology Department one month later for Acute Pericarditis. During hospitalization she maintained recurrent fever peaks despite the treatment with non-steroidal anti-inflammatory drugs and colchicine. She collected blood cultures and repeated echocardiogram showed increased pericardial effusion with no signs of hemodynamic compromise. Blood cultures revealed the presence of Pasteurella multocida. Due to clinical suspicion of purulent pericarditis, pericardiocentesis was performed with drainage of liquid compatible with exudate and the patient was presented to the Cardiothoracic Surgery Department for pericardiotomy and adequate drainage of the liquid. Histological examination confirmed the diagnosis of Acute Pericarditis. It should be noted that Pasteurella is a very frequent agent (50-90%) in the gastrointestinal tract and nasopharynx of many domestic animals, namely dogs.The authors emphasize the need to aggressively treat this pathology, since untreated death is inevitable. Resumo: A pericardite purulenta é uma entidade rara, definida como a presença de derrame pericárdico neutrofílico infetado por um agente bacteriano, fungo ou parasita. O diagnóstico pode ser desafiante, especialmente se os doentes fizeram antibioterapia previamente; por outro lado, o reconhecimento dessa patologia é feito, muitas vezes, tardiamente, quando do aparecimento de sintomas graves ou sinais de tamponamento ou mesmo apenas na autópsia. Os autores descrevem o caso de uma mulher, 82 anos, com antecedentes de laceração extensa do membro inferior direito por mordedura de cão em julho de 2016, internada no Serviço de Cardiologia um mês depois por suspeita de pericardite aguda. Durante o internamento manteve picos febris recorrentes apesar da terapêutica com anti-inflamatórios não esteroides e colchicina. Colheu rastreio sético e repetiu ecocardiograma, que revelou aumento do derrame pericárdico, sem sinais de compromisso hemodinâmico, e as hemoculturas revelaram a presença de Pasteurella multocida. Por suspeita clínica de pericardite purulenta fez pericardiocentese com drenagem de líquido compatível com exsudado e foi apresentada ao Serviço de Cirurgia Cardiotorácica para pericardiotomia e drenagem adequada do líquido purulento. O exame histológico confirmou o diagnóstico de pericardite aguda. De salientar que a Pasteurella é um agente muito frequente (50-90%) no trato gastrointestinal e nasofaringe de muitos animais domésticos, nomeadamente cães.Os autores realçam a necessidade de tratar agressivamente essa patologia, uma vez que se não tratada a morte é inevitável. Keywords: Purulent pericarditis, Pasteurella multocida, Palavras-chave: Pericardite purulenta, Pasteurella multocida
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Concepts
Metadata
- Type
- article
- Language
- de
- Landing Page
- https://doi.org/10.1016/j.repce.2017.03.010
- OA Status
- hybrid
- Cited By
- 1
- References
- 8
- Related Works
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- OpenAlex ID
- https://openalex.org/W2795452865
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W2795452865Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.repce.2017.03.010Digital Object Identifier
- Title
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Purulent pericarditis and Pasteurella multocida: An extremely rare combinationWork title
- Type
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articleOpenAlex work type
- Language
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dePrimary language
- Publication year
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2018Year of publication
- Publication date
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2018-04-01Full publication date if available
- Authors
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Raquel Ferreira, José Luís Martins, Tiago Adrega, Sara Pinto, Sofia Nunes, Rita Pancas, Anabela Gonzaga, José SantosList of authors in order
- Landing page
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https://doi.org/10.1016/j.repce.2017.03.010Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1016/j.repce.2017.03.010Direct OA link when available
- Concepts
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Medicine, Pericardiocentesis, Pericardial effusion, Pericarditis, Pasteurella multocida, Surgery, Pericardium, Cardiac tamponade, Effusion, Genetics, Bacteria, BiologyTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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