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Published in: International Journal of Emergency Medicine 1/2014

Open Access 01-12-2014 | Case report

Lifesaving pericardiocentesis due to purulent pericarditis with growth of Gram-negative rods in an immune-competent Inuit male

Authors: Carl Frederik Brandt Simonÿ, Mikkel Malham, Jacob Kanstrup, Piotr Wojtek, Folmer Lynggaard, Stig Andersen

Published in: International Journal of Emergency Medicine | Issue 1/2014

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Abstract

Polymicrobial Gram-negative pericarditis is a rare entity in the immune-competent patient, and purulent pericarditis due to bacteria complicated by tamponade is a life-threatening condition with high mortality rates. A prompt diagnosis and treatment is, as in this case, lifesaving and facilitated by echocardiography but is not the case in rural areas in common. Change in the infectious aetiology indicates broad-spectrum antibiotics. We describe a case of purulent pericarditis causing cardiac tamponade due to haematogenous spread of Escherichia coli (E. coli) and Proteus species in an immune-competent Inuit male treated with pericardiocentesis.
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Metadata
Title
Lifesaving pericardiocentesis due to purulent pericarditis with growth of Gram-negative rods in an immune-competent Inuit male
Authors
Carl Frederik Brandt Simonÿ
Mikkel Malham
Jacob Kanstrup
Piotr Wojtek
Folmer Lynggaard
Stig Andersen
Publication date
01-12-2014
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Emergency Medicine / Issue 1/2014
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI
https://doi.org/10.1186/s12245-014-0021-8

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