1/42. Pseudoaneurysm of the left ventricle after isolated pericarditis and staphylococcus aureus septicemia.Left ventricular pseudoaneurysm after isolated pericarditis as a result of Staphylococcal septicemia is very rare. A case of a very young patient is described. diagnosis is made by echocardiography. Immediate surgical resection of the pseudoaneurysm is the therapy of choice.- - - - - - - - - - ranking = 1keywords = pericarditis (Clic here for more details about this article) |
2/42. Left ventricular pseudoaneurysm complicating infective pericarditis.Cross sectional echocardiography demonstrated a pseudoaneurysm of the left ventricular posterolateral wall close to the atrioventricular junction in a 4 year old girl with infective pericarditis complicating lobar pneumonia. Colour flow Doppler demonstrated bidirectional flow across the communication hole. Surgical resection was successful.- - - - - - - - - - ranking = 1keywords = pericarditis (Clic here for more details about this article) |
3/42. Staphylococcal pericarditis following percutaneous transluminal coronary angioplasty.Infectious complications occurring after percutaneous transluminal coronary angioplasty are uncommon. We are reporting a case of bacterial pericarditis developing 1 week after coronary angioplasty and stent implantation. Treatment with appropriate antibiotics and drainage of the infected pericardial effusion was followed by a protracted hospital course and eventual control of infection and discharge of the patient.- - - - - - - - - - ranking = 1keywords = pericarditis (Clic here for more details about this article) |
4/42. staphylococcus aureus pericarditis masquerading as anterior mediastinal mass: mediastinal mass from pericarditis.Pseudomediastinal mass as a result of bacterial pericarditis is a rare clinical presentation. We report one such case in a patient with end-stage renal disease receiving hemodialysis, who presented primarily with manifestations of right heart compression due to a large encapsulated pericardial abscess and, surprisingly, with no overt signs of sepsis. Surgical drainage, pericardiectomy, and antibiotic therapy led to a successful outcome.- - - - - - - - - - ranking = 1.8keywords = pericarditis (Clic here for more details about this article) |
5/42. Cardiac rupture caused by staphylococcus aureus septicaemia and pericarditis: an incidental finding.A 35 year old woman with a long history of intravenous drug abuse presented to a local hospital with severe anaemia, fever, raised markers of inflammation, and positive blood cultures for staphylococcus aureus. She responded to treatment with antibiotics with improvement in her symptoms and markers of inflammation. Four weeks later a "routine" echocardiogram showed a rupture of her left ventricular apex and a large pseudoaneurysm. There had been no deterioration in her symptoms or haemodynamic status to herald this new development. It was successfully repaired surgically and the patient made a good recovery.- - - - - - - - - - ranking = 0.8keywords = pericarditis (Clic here for more details about this article) |
6/42. Purulent and constrictive pericarditis arising from a staphylococcal lumbar infection.A 78-year-old man was admitted to the hospital for evaluation and treatment of anasarca secondary to staphylococcal purulent pericarditis. One month earlier he had undergone a lumbar laminectomy that was complicated postoperatively by a lumbar abscess that was not clinically apparent. The infection subsequently spread to the pericardium. Despite aggressive therapy that included therapeutic pericardiocentesis, drainage of pericardial fluid, and prolonged intravenous antibiotic therapy, the patient returned 2 weeks after discharge from the hospital with complicating constrictive pericarditis. pericardiectomy was performed, resulting in complete relief of the patient's symptoms.- - - - - - - - - - ranking = 1.2keywords = pericarditis (Clic here for more details about this article) |
7/42. Surgical management of staphylococcal pericarditis.The surgical management of 10 patients with staphylococcal pericarditis is described. Of the 10, seven were children aged 12 years or under. A variety of procedures was used to drain the pericardium at open operation; these included left anterior thoracotomy, left anterolateral thoracotomy, median sternotomy, and the transdiaphragmatic approach to the pericardium. The pathological findings at operation are described. Two patients died; one of the deaths was related to the operation, the other was not. The remained eight patients were ultimately well although two required reoperation before recovery was achieved. After the initial diagnosis of pyopericardium, early consideration of operative drainage is advocated. An effective means of surgical management is dependent, open drainage of the pericardium approach by the transdiaphragmatic route.- - - - - - - - - - ranking = 1keywords = pericarditis (Clic here for more details about this article) |
8/42. Massive purulent pericarditis and cardiac tamponade caused by staphylococcus aureus urosepsis. Case report.We experienced a case of purulent pericarditis and cardiac tamponade in a patient who presented with acute respiratory failure and urosepsis and ultimately died of overwhelming septic shock. pericardiocentesis yielded 1400 cc of pus; cultures grew only staphylococcus aureus with sensitivities identical to the staphylococcus aureus cultured from the patient's urine. Purulent pericarditis is rare and its association only with urosepsis has not been previously reported. The case is discussed and the literature reviewed.- - - - - - - - - - ranking = 1.2keywords = pericarditis (Clic here for more details about this article) |
9/42. Staphylococcal septicemia: successful treatment of complications in a child.A previously healthy 5-year-old girl developed staphylococcal septicemia. Initially, cardiovascular failure with mitral insufficiency and purulent pericarditis dominated the clinical picture. Peripheral thromboembolic phenomena, meningitis, osteomyelitis, and persistent septicemia were subsequently encountered during antimicrobial and surgical therapy. Although staphylococcal septicemia is a potentially lethal disorder, anticipation of its natural course and its possible complications should lead to more successful management.- - - - - - - - - - ranking = 0.2keywords = pericarditis (Clic here for more details about this article) |
10/42. Staphylococcal pericarditis in a chronic renal failure patient.A 34-year-old female with end-stage renal disease was admitted for severe metabolic acidosis, uremic encephalopathy, pericarditis and severe anemia following a bout of acute gastroenteritis. She improved on aggressive medical management including intensive hemodialysis and was initiated onto maintenance heparin-free hemodialysis (twelve hours per week) and discharged. After a week, she presented with fever with chills and rigors for three days, was toxic, severely orthopenic and had a pulsus paradoxus of 36 mmHg. echocardiography suggested cardiac tamponade. Aspiration revealed frank pus with polymorphonuclear predominance and staphylococcus aureus on culture. CT of the thorax revealed pericardial effusion. In the absence of any obvious septic foci, concomitant pleuro-pulmonary sepsis, mediastinal or intra-abdominal pathology; a diagnosis of "acute primary purulent pericarditis" was made. Patient was put on parenteral antibiotics-ceftriaxone and metrogyl. vancomycin was added after sensitivity results. Pericardial drainage was required initially. After toxemia improved, paradox decreased and fever subsided, the pericardial catheter was removed and antibiotics continued for a period of four weeks. maintenance hemodialysis was continued during hospital stay and after discharge.- - - - - - - - - - ranking = 1.2keywords = pericarditis (Clic here for more details about this article) |
| | Next -> |