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Purulent constrictive pericarditis caused by Salmonella enteritidis in a patient with adult-onset Still's disease: A case report.

Abstract Purulent pericarditis is a rare and usually fatal disease. Immunodeficiency state and preexisting pericardial effusion can predispose patients to infections. However, we are not aware of similar cases in patients with adult-onset Still's disease (AOSD). In addition, it is seldom caused by Salmonella bacteria.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390286
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Purulent constrictive pericarditis caused by Salmonella enteritidis in a patient 
      with adult-onset Still's disease: A case report.
PG  - e8949
LID - 10.1097/MD.0000000000008949 [doi]
AB  - RATIONALE: Purulent pericarditis is a rare and usually fatal disease.
      Immunodeficiency state and preexisting pericardial effusion can predispose
      patients to infections. However, we are not aware of similar cases in patients
      with adult-onset Still's disease (AOSD). In addition, it is seldom caused by
      Salmonella bacteria. PATIENT CONCERNS: We report a 30-year-old woman with dyspnea
      on exertion and epigastric fullness. She was newly diagnosed with AOSD 4 months
      previously and medicated with prednisolone. DIAGNOSES: Transthoracic
      echocardiography (TTE) and computed tomography revealed a thickened pericardium
      with loculations in the pericardial space, consistent with purulent constrictive 
      pericarditis. Subsequent cultures of blood and pericardial fluid yielded S
      enteritidis. INTERVENTIONS: She underwent subtotal pericardiectomy through a
      limited median sternotomy, and antibiotic therapy (ceftriaxone) for 1 month.
      OUTCOMES: The New York Heart Association functional classification downgraded
      from class III to class I. There was no recurrence during the 1-year follow-up.
      LESSONS: This case presents an opportunity to highlight the importance of
      considering purulent pericarditis in patients previously diagnosed with AOSD.
      High clinical suspicion, early diagnosis, and prompt management can result in a
      better outcome in purulent pericarditis.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Kuo, Chia-Cheng
AU  - Kuo CC
AD  - Division of Cardiovascular Surgery, Department of Surgery.
AD  - Department of Medical Education, Taipei Veteran General Hospital.
AD  - School of Medicine, National Defense Medical Center.
FAU - Yu, Wen-Liang
AU  - Yu WL
AD  - Department of Intensive Care Unit, Chi Mei Medical Center.
AD  - Department of Medicine, School of Medicine, College of Medicine, Taipei Medical
      University.
FAU - Lee, Chen-Hui
AU  - Lee CH
AD  - Division of Cardiovascular Surgery, Department of Surgery.
FAU - Wu, Nan-Chun
AU  - Wu NC
AD  - Division of Cardiovascular Surgery, Department of Surgery.
AD  - Department of Hospital and Health Care Administration, Biotechnology, Chia-Nan
      University of Pharmacy and Science, Tainan, Taiwan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Anti-Bacterial Agents)
SB  - AIM
SB  - IM
MH  - Adult
MH  - Anti-Bacterial Agents/therapeutic use
MH  - Combined Modality Therapy
MH  - Echocardiography
MH  - Female
MH  - Humans
MH  - Pericarditis, Constrictive/diagnostic imaging/*microbiology/therapy
MH  - Salmonella enteritidis/*isolation & purification
MH  - Sternotomy
MH  - Still's Disease, Adult-Onset/*complications/*diagnosis
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000008949 [doi]
AID - 00005792-201712150-00036 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e8949. doi: 10.1097/MD.0000000000008949.