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

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...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2018-01, Vol.13 (1), p.15-15, Article 15
Main Authors: Meier, David, Kirsch, Matthias, Qanadli, Salah Dine, Muller, Olivier, Fishman, Daniel, Trana, Catalina
Format: Article
Language:English
Subjects:
Aorta
Ascending aorta
Case Report
Case studies
Complications and side effects
Diagnosis
Diarrhea
Health aspects
Infected aneurysm
Pericarditis
Pneumonia
Purulent pericarditis
Risk factors
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Summary: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.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-018-0699-4