Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report

Abstract 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 com...

Full description

Saved in:
Bibliographic Details
Main Authors: Carolin Steffen, Josef Sägmüller, Dominique Schöneburg, Eva Göncz, Martin Möckel, Sascha Ott, Alexander Lavinius Ungur, Benjamin O ’Brien
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-024-05014-z
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract 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.
ISSN:1752-1947