European heart journal. Case reports · 2026
From oesophageal cancer to constrictive pericarditis: oesophagopericardial fistula complicated by Streptococcus equi infection-a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Esteves Sofia, Figueiredo Ana Rita, Rigueira Joana, Sousa Catarina, Pinto Fausto J
Аннотация
BACKGROUND: Oesophagopericardial fistula is a rare but life-threatening condition that may lead to purulent pericarditis, which in turn carries a high risk of progression to constrictive pericardial disease.
CASE SUMMARY: A 50-year-old horse handler with advanced oesophageal carcinoma presented with acute chest pain, fever, and shock. Echocardiography showed a large pericardial effusion and pericardiocentesis yielded purulent fluid. Streptococcus equi was isolated. Computed tomography confirmed an oesophagopericardial fistula. The patient underwent percutaneous drainage, broad-spectrum antimicrobial therapy, and endoscopic stent placement. Despite initial improvement, he developed effusive-constrictive physiology and later refractory septic shock, leading to death.
DISCUSSION: This case highlights a rare zoonotic cause of purulent pericarditis and its progression to constrictive physiology despite appropriate management.
TAKE-HOME MESSAGES: Early recognition, multidisciplinary management, and follow-up imaging are essential in complex pericardial infections.
CASE SUMMARY: A 50-year-old horse handler with advanced oesophageal carcinoma presented with acute chest pain, fever, and shock. Echocardiography showed a large pericardial effusion and pericardiocentesis yielded purulent fluid. Streptococcus equi was isolated. Computed tomography confirmed an oesophagopericardial fistula. The patient underwent percutaneous drainage, broad-spectrum antimicrobial therapy, and endoscopic stent placement. Despite initial improvement, he developed effusive-constrictive physiology and later refractory septic shock, leading to death.
DISCUSSION: This case highlights a rare zoonotic cause of purulent pericarditis and its progression to constrictive physiology despite appropriate management.
TAKE-HOME MESSAGES: Early recognition, multidisciplinary management, and follow-up imaging are essential in complex pericardial infections.