JACC. Case reports · 2026
Purulent Pericarditis and Tamponade From a Migrating Esophageal Foreign Body.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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.
Hindosh Ziad R, Cha Beda M, Soverow Jonathan, Nguyen Kaylin
Аннотация
BACKGROUND: Purulent pericarditis is rare, typically affecting immunocompromised individuals from hematogenous spread, contiguous extension, or direct inoculation. Esophageal foreign body migration as an etiology has not been previously described.
CASE SUMMARY: A 42-year-old immunocompetent male presented with pleuritic chest pain and dysphagia after ingestion of a tripe burrito. He developed hemodynamic instability from cardiac tamponade. Emergent pericardiocentesis was performed, yielding fluid that grew Streptococcus constellatus. Computed tomography and esophagogastroduodenoscopy identified a penetrating foreign body in the distal esophagus. He improved following video-assisted pericardial washout and antibiotic therapy. Follow-up imaging demonstrated migration of the object between the thoracic aorta and azygos vein.
DISCUSSION: Rare cases of purulent pericarditis in immunocompetent patients have been reported via respiratory translocation; however, this appears to be the first reported case of purulent pericarditis due to esophageal foreign body migration. Multidisciplinary consensus supported conservative management rather than surgical pericardiectomy and led to a full recovery.
TAKE-HOME MESSAGES: Early recognition of purulent cardiac tamponade due to foreign body ingestion, along with prompt pericardiocentesis and antibiotic therapy, was critical for stabilization and individualized management.
CASE SUMMARY: A 42-year-old immunocompetent male presented with pleuritic chest pain and dysphagia after ingestion of a tripe burrito. He developed hemodynamic instability from cardiac tamponade. Emergent pericardiocentesis was performed, yielding fluid that grew Streptococcus constellatus. Computed tomography and esophagogastroduodenoscopy identified a penetrating foreign body in the distal esophagus. He improved following video-assisted pericardial washout and antibiotic therapy. Follow-up imaging demonstrated migration of the object between the thoracic aorta and azygos vein.
DISCUSSION: Rare cases of purulent pericarditis in immunocompetent patients have been reported via respiratory translocation; however, this appears to be the first reported case of purulent pericarditis due to esophageal foreign body migration. Multidisciplinary consensus supported conservative management rather than surgical pericardiectomy and led to a full recovery.
TAKE-HOME MESSAGES: Early recognition of purulent cardiac tamponade due to foreign body ingestion, along with prompt pericardiocentesis and antibiotic therapy, was critical for stabilization and individualized management.