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[Empyema thoracis, hemorrhagic pericarditis and acalculous cholecystitis caused by Eikenella corrodens sepsis].
- Source :
-
Orvosi hetilap [Orv Hetil] 2013 Nov 24; Vol. 154 (47), pp. 1873-6. - Publication Year :
- 2013
-
Abstract
- The authors present a case of a 29-year-old woman who was diagnosed with pneumonia in the left side complicated with pleural effusion and hemorrhagic pericarditis one month after she had undergone tonsillectomy. Eikenella corrodens was identified as pathogenic agent when the empyema was removed during thoracotomy. After the patient was given antibiotic treatment she was discharged from the hospital without any symptoms or complaints. However, one month after she had left the hospital she was readmitted to the surgical unit as an emergency because of acute abdominal complaints. On admission acalculous cholecystitis as well as hemorrhagic pericarditis requiring pericardiocentesis were also observed. A rare cause of sepsis, Eikenella corrodens was identified which resulted in a severe disorder including polyserositis. Pericardiocentesis was performed two times and the patient was given targeted antibiotics and non-steroidal anti-inflammatory drugs. She was also treated with antimycotics as she had developed mycosis. After one month the patient recovered and was discharged from the hospital. No further recurrence of symptoms or complaints was observed during follow up.
- Subjects :
- Acalculous Cholecystitis therapy
Adult
Anti-Bacterial Agents therapeutic use
Bacteremia diagnosis
Bacteremia drug therapy
Bacteremia microbiology
Drainage
Empyema, Pleural diagnosis
Empyema, Pleural therapy
Female
Gram-Negative Bacterial Infections diagnosis
Gram-Negative Bacterial Infections drug therapy
Gram-Negative Bacterial Infections microbiology
Hemorrhage etiology
Hemorrhage therapy
Humans
Pericardiocentesis
Pericarditis complications
Pericarditis diagnosis
Pericarditis therapy
Thoracotomy
Tomography, X-Ray Computed
Acalculous Cholecystitis diagnosis
Acalculous Cholecystitis microbiology
Bacteremia complications
Eikenella corrodens isolation & purification
Empyema, Pleural microbiology
Gram-Negative Bacterial Infections complications
Pericarditis microbiology
Subjects
Details
- Language :
- Hungarian
- ISSN :
- 0030-6002
- Volume :
- 154
- Issue :
- 47
- Database :
- MEDLINE
- Journal :
- Orvosi hetilap
- Publication Type :
- Academic Journal
- Accession number :
- 24240524
- Full Text :
- https://doi.org/10.1556/OH.2013.29752