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Staphylococcus aureus Pericardial Abscess Presenting as Severe Sepsis and Septic Shock After Acupuncture Therapy

  • Han, Won-Seok (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Yoon, Young-Jin (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Park, Cheol-Woo (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Park, Sung-Hwan (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Nam, Oun-Ouk (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Rhee, Il (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center)
  • Published : 2012.07.31

Abstract

Pericardial abscess is an extremely rare complication of Staphylococcus aureus bacteremia. We report a case of a 72-year-old woman with multiple acupuncture scars on both knees who presented with shortness of breath and general weakness. Transthoracic echocardiography and pericardiocentesis confirmed the presence of pericardial fluid collection. Staphylococcus aureus grew in both pericardial fluid and blood. Although an aggressive medical treatment including intravenous antibiotics and percutaneous drainage, the patient died 2 days after admission.

Keywords

References

  1. Mutreja D, Nangia R, Mishra P. Pseudotumoral hepatic tuberculosis with pericardial abscess. Indian J Pathol Microbiol 2010;53:763-6. https://doi.org/10.4103/0377-4929.72082
  2. Lin TH, Chiu CC, Huang CH, Tsai KB, Sheu SH. Tuberculous pericardial abscess: a case report. Kaohsiung J Med Sci 2005;21:322-5. https://doi.org/10.1016/S1607-551X(09)70128-7
  3. Van de Donk NW, Meijer RC, America YG, Cramer MJ. Staphylococcus aureus pericardial abscess presenting as a localized bulge of the heart contour. Interact Cardiovasc Thorac Surg 2010;10:818-9. https://doi.org/10.1510/icvts.2009.230904
  4. Chung HT, Hsieh TC, Yu MC, Chang YS, Lo WC, Jaing TH. Staphylococcus aureus pericardial abscess in a child with beta-thalassemia major following double-unit unrelated cord blood transplantation. Pediatr Hematol Oncol 2007;24:275-9. https://doi.org/10.1080/08880010701364249
  5. Perez-Cardona J, Salgado V, Medina-Ruiz A, Quilinchini J, Maldonado A. Pericardial abscess in an intravenous drug user: a case report. P R Health Sci J 2008;27:387-9.
  6. El-Ahdab F, East M, Sexton D, Bashore T. Staphylococcus aureus pericardial abscess in a patient with liver cirrhosis: case report. South Med J 2003;96:926-7. https://doi.org/10.1097/01.SMJ.0000072357.15085.0F
  7. Kim SY, Moon SY, Kim KY, et al. A case of pericardial tamponade in a Korean man with pericardial abscess due to Bacteroides fragilis. Infect Chemother 2007;39:314-7.
  8. Park JY, Park SA, An YH, et al. A case of tuberculous pericardial abscess mimicking thymic carcinoma. Tuberc Respir Dis 2011;70:347-51. https://doi.org/10.4046/trd.2011.70.4.347

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