A Case of Acute Purulent Pericarditis with Pericardial Performation by Esophageal Foreign Body.
- Author:
Eun Kyoung CHOI
1
;
Kyoung Hee KWON
;
Yong Won CHOI
;
Seok Kyu OH
;
Jin Won JEONG
;
Yang Kyu PARK
Author Information
1. Department of Internal Medicine, College of Medicine, The Won-Kwang University, Iksan, Korea.
- Publication Type:Case Report
- Keywords:
Purulent pericarditis;
Esophageal perforation;
Pericardial perforation
- MeSH:
Adult;
Anti-Bacterial Agents;
Bacteremia;
Empyema;
Endocarditis;
Esophageal Perforation;
Esophagitis;
Esophagus;
Foreign Bodies*;
Humans;
Mediastinitis;
Pericardiectomy;
Pericarditis*;
Pericardium;
Pneumonia;
Pneumonia, Bacterial;
Thoracic Surgery
- From:Journal of the Korean Society of Echocardiography
2000;8(2):247-251
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purulent pericarditis is an infrequent but fulminant and frequently lethal disease. Purulent pericarditis tends to occur as direct extension of bacterial pneumonia or empyema in past. In recently, purulent pericarditis tends to occur in adult via contiguous spread from an early postoperative infection after thoracic surgery or trauma, infection related to infective endocarditis, extension from a subdiaphragmatic suppurative source, and hematogenous spread during bacteremia. Endogenous causes of purulent pericarditis are frequently characterized as esophageal perforations. Common causes of esophageal perforations related to purulent pericaditis which usually develop in association with mediastinitis, pneumonia and empyema include corrosive esophagitis, complication after esophageal and tracheal instrumentation and Boerhaave's syndrome. There is very little reference to the development of pericarditis in associated with esophageal perforation which does not directly communicate with the pericardium. while, although most uncommon, it is well documented that the esophagus can perforate directly into the pericardium and produce pericarditis. We experienced a case of acute purulent pericarditis after esophageal and pericardial perforation by a small fish bone in a previously healthy man. The patient was treated successfully with systemic antibiotics and pericardiotomy.
