Purulent Pericarditis with Salmonella enterica Subspecies arizona in a Patient with Type 2 Diabetes Mellitus

Purulent pericarditis is a life-threatening disorder, even in the modern antibiotic era. Although diabetes mellitus is known to be associated with an increased risk of multiple types of infections, purulent pericarditis is extremely rare. We herein report an unusual case of pericarditis caused by Sa...

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Bibliographic Details
Published in:Internal Medicine 2017/08/15, Vol.56(16), pp.2171-2174
Main Authors: Suzuki, Ai, Tanaka, Takamitsu, Ohba, Kenji, Ito, Naomi, Sakai, Yuki, Kaneko, Akane, Machii, Masashi, Nonaka, Daishi, Goto, Yoshie, Takase, Hiroyuki
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Animals
Antibiotics
Case Report
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - complications
Health risks
Humans
Infections
Internal medicine
Male
Opportunistic Infections - complications
Pericarditis
Pericarditis - complications
Pericarditis - diagnostic imaging
Pericarditis - microbiology
Pets
Radiography
reptile
S. enterica subsp. arizona
Salmonella
Salmonella enterica
Salmonella Infections - complications
Salmonella Infections - transmission
Salmonella Infections, Animal - transmission
Snakes
Tomography, X-Ray Computed
Zoonoses - complications
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Summary:Purulent pericarditis is a life-threatening disorder, even in the modern antibiotic era. Although diabetes mellitus is known to be associated with an increased risk of multiple types of infections, purulent pericarditis is extremely rare. We herein report an unusual case of pericarditis caused by Salmonella enterica subspecies arizona that was not associated with any evident underlying immunosuppressive disorder apart from uncontrolled type 2 diabetes mellitus. Because a pet snake was suspected as being the source of infection in the present case, patient education and a detailed review of exposure history could play an important role in treating patients with diabetes mellitus.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.8293-16