Purulent pericarditis with Salmonella enteritidis in a patient with CD4/CD8 depression

Summary A 65-year-old man was admitted for high-grade fever with a shaking chill and general fatigue. Chest X-ray showed cardiomegaly, and echocardiography revealed a large amount of pericardial effusion. Emergency pericardiocentesis was performed, and Salmonella enteritidis was found in pericardial...

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Bibliographic Details
Published in:Journal of cardiology 2008-06, Vol.51 (3), p.201-204
Main Authors: Takamiya, Yosuke, MD, Shirai, Kazuyuki, MD, Fujino, Masahiro, MD, Miller, Nathan, Tsuchiya, Yoshihiro, MD, Okabe, Masanori, MD, Saku, Keijiro, MD
Format: Article
Language:English
Subjects:
Aged
Cardiovascular
CD4-CD8 Ratio
Effusive-constrictive pericarditis
Humans
Immunocompromised Host
Male
Pericarditis, Constrictive - etiology
Purulent pericarditis
Salmonella enteritidis
Salmonella Infections - etiology
Suppuration
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Summary:Summary A 65-year-old man was admitted for high-grade fever with a shaking chill and general fatigue. Chest X-ray showed cardiomegaly, and echocardiography revealed a large amount of pericardial effusion. Emergency pericardiocentesis was performed, and Salmonella enteritidis was found in pericardial fluids. We diagnosed purulent pericarditis with S. enteritidis , and administered antibiotics. While high-grade fever resolved 10 days after beginning of treatment, effusive-constrictive pericarditis (ECP) without definite symptoms persisted for 2 months. Because of the improvement of his hemodynamic states on cardiac catheterization after 1 year, an operative procedure was not required. He was diagnosed as having CD4/CD8 depression without apparent diseases. There are few reports of pericarditis with S. enteritidis , and we believe this case might be only the second recorded case of ECP with S. enteritidis.
ISSN:0914-5087
1876-4738
DOI:10.1016/j.jjcc.2007.12.004