التفاصيل البيبلوغرافية
| العنوان: |
Purulent pericarditis, multi‐site abscesses and ketoacidosis in a patient with newly diagnosed diabetes: a rare case report |
| المؤلفون: |
Lee, H.‐H., Chu, C.‐Y., Su, H.‐M., Lin, T.‐H., Voon, W.‐C., Lai, W.‐T., Sheu, S.‐H., Hsu, P.‐C. |
| المصدر: |
Diabetic Medicine ; volume 31, issue 7 ; ISSN 0742-3071 1464-5491 |
| بيانات النشر: |
Wiley |
| سنة النشر: |
2014 |
| المجموعة: |
Wiley Online Library (Open Access Articles via Crossref) |
| الوصف: |
Background Purulent pericarditis is an acute and fulminant disease characterized by pus accumulation in the pericardial space. Its incidence has declined substantially and the common pathogen has changed since the beginning of the antibiotic era; however, it is still found in some patients with immunocompromised conditions. Case report We report a rare case in which the onset of diabetes mellitus presented as extremely high HbA 1c concentration, ketoacidosis, multi‐site abscesses and purulent pericarditis. After antibiotic therapy and pericardiocentesis, the purulent pericarditis still did not resolve and further intrapericardial thrombolytic therapy also failed. Finally, this patient was treated successfully by surgical debridement and pericardiectomy. Conclusion In the immunocompromised state of severe hyperglycaemia, purulent pericarditis is a possible complication of uncontrolled infection. If purulent pericarditis cannot be cured using non‐surgical treatments, such as antibiotic therapy, pericardiocentesis and intrapericardial thrombolytic therapy, a surgical pericardiectomy should be considered to avoid morbidity and mortality. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1111/dme.12458 |
| الإتاحة: |
https://doi.org/10.1111/dme.12458Test |
| حقوق: |
http://onlinelibrary.wiley.com/termsAndConditions#vorTest |
| رقم الانضمام: |
edsbas.7DEDAAD0 |
| قاعدة البيانات: |
BASE |
