Burkholderia pseudomallei sepsis presenting with pericardial effusion and tamponade

Severe septicaemia secondary to melioidosis carries a high mortality. Although melioidosis can involve most tissues and organs, pericardial involvement is rare. We report a 40 year old woman with melioidosis with pericardial involvement but no contiguous pulmonary involvement. She developed acute pe...

Full description

Saved in:
Bibliographic Details
Published in:Critical care and resuscitation 2008-06, Vol.10 (2), p.137-139
Main Authors: De Keulenaer, Bart L, Van Hooland, Simon R, Damodaran, Prabha R, Currie, Bart J, Powell, Bruce P, Jenkins, Ian R
Format: Article
Language:English
Subjects:
Adult
Anti-Bacterial Agents - therapeutic use
Bacteremia
Burkholderia pseudomallei - isolation & purification
Cardiac Tamponade - diagnosis
Cardiac Tamponade - etiology
Cardiac Tamponade - surgery
Diagnosis, Differential
Drug utilization
Female
Follow-Up Studies
Humans
Melioidosis
Melioidosis - diagnosis
Melioidosis - microbiology
Melioidosis - therapy
Pericardial Effusion - complications
Pericardial Effusion - diagnosis
Pericardial Effusion - microbiology
Sepsis - diagnosis
Sepsis - microbiology
Sepsis - therapy
Thoracotomy - methods
Tomography, X-Ray Computed
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Severe septicaemia secondary to melioidosis carries a high mortality. Although melioidosis can involve most tissues and organs, pericardial involvement is rare. We report a 40 year old woman with melioidosis with pericardial involvement but no contiguous pulmonary involvement. She developed acute pericardial tamponade but was successfully treated with surgery and medical therapy. This is the first case in Australia or New Zealand of melioid sepsis presenting with pericarditis and subsequent cardiac tamponade. We review the literature on cardiac involvement in melioidosis. (author abstract)
ISSN:1441-2772
DOI:10.1016/S1441-2772(23)01326-1