Journal of medical case reports · 2025
Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report.
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Steffen Carolin, Sägmüller Josef, Schöneburg Dominique, Göncz Eva, Möckel Martin, Ott Sascha, Ungur Alexander Lavinius, O 'Brien Benjamin
Аннотация
INTRODUCTION: Purulent bacterial pericarditis is a potentially fatal disease with mortality rates reaching 100% if left untreated.
CASE PRESENTATION: We present the case of a 33-year-old Caucasian male patient who developed cardiac tamponade, most likely caused by a pyogenic liver abscess communicating with the pericardium. Treatment with antibiotics, extended sepsis therapy, and drainage of the abscess led to a full recovery.
CONCLUSION: This report describes a rare but potentially fatal differential diagnosis of aortic dissection and serves as a reminder that lives abscesses can manifest unexpectedly. Clinical signs and symptoms of tamponade can be mistaken as sepsis. In this particular case, the combination of a septic abscess and tamponade caused by pyopericardium posed a diagnostic challenge.
CASE PRESENTATION: We present the case of a 33-year-old Caucasian male patient who developed cardiac tamponade, most likely caused by a pyogenic liver abscess communicating with the pericardium. Treatment with antibiotics, extended sepsis therapy, and drainage of the abscess led to a full recovery.
CONCLUSION: This report describes a rare but potentially fatal differential diagnosis of aortic dissection and serves as a reminder that lives abscesses can manifest unexpectedly. Clinical signs and symptoms of tamponade can be mistaken as sepsis. In this particular case, the combination of a septic abscess and tamponade caused by pyopericardium posed a diagnostic challenge.