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...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-024-05014-z |
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| author | Carolin Steffen Josef Sägmüller Dominique Schöneburg Eva Göncz Martin Möckel Sascha Ott Alexander Lavinius Ungur Benjamin O ’Brien |
| author_facet | Carolin Steffen Josef Sägmüller Dominique Schöneburg Eva Göncz Martin Möckel Sascha Ott Alexander Lavinius Ungur Benjamin O ’Brien |
| author_sort | Carolin Steffen |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-368998ff61234aa0b279add2cc2b81cd |
| institution | Kabale University |
| issn | 1752-1947 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj-art-368998ff61234aa0b279add2cc2b81cd2025-01-12T12:25:25ZengBMCJournal of Medical Case Reports1752-19472025-01-011911510.1186/s13256-024-05014-zPyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case reportCarolin Steffen0Josef Sägmüller1Dominique Schöneburg2Eva Göncz3Martin Möckel4Sascha Ott5Alexander Lavinius Ungur6Benjamin O ’Brien7Charité – Universitätsmedizin Berlin, Department of Anesthesiology and Operative Intensive Care Medicine, Freie Universität Berlin and Humboldt-Universität zu BerlinLabor Berlin – Charité Vivantes GmbH, Subsidiary company of Charité – Universitätsmedizin BerlinDepartment of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute BerlinCharité – Universitätsmedizin Berlin, Department of Anesthesiology and Operative Intensive Care Medicine, Freie Universität Berlin and Humboldt-Universität zu BerlinCharité – Universitätsmedizin Berlin, Department of Anesthesiology and Operative Intensive Care Medicine, Freie Universität Berlin and Humboldt-Universität zu BerlinDepartment of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute BerlinDepartment of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute BerlinDepartment of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute BerlinAbstract 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.https://doi.org/10.1186/s13256-024-05014-zPyopericardiumPyogenic liver abscessCardiac tamponadeCase report |
| spellingShingle | Carolin Steffen Josef Sägmüller Dominique Schöneburg Eva Göncz Martin Möckel Sascha Ott Alexander Lavinius Ungur Benjamin O ’Brien Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report Journal of Medical Case Reports Pyopericardium Pyogenic liver abscess Cardiac tamponade Case report |
| title | Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report |
| title_full | Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report |
| title_fullStr | Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report |
| title_full_unstemmed | Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report |
| title_short | Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report |
| title_sort | pyopericardium with cardiac tamponade caused by pyogenic liver abscess a case report |
| topic | Pyopericardium Pyogenic liver abscess Cardiac tamponade Case report |
| url | https://doi.org/10.1186/s13256-024-05014-z |
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