Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting
10.1097/CD9.0000000000000046
- VernacularTitle:Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting
- Author:
Jiawen HUANG
1
;
Chengfeng HUANG
;
Zhaoming LIN
;
Huanan LIU
;
Xiaoshen ZHANG
Author Information
1. Department of Pharmacy, First Affiliated Hospital, Jinan University, Guangzhou, Guangdong 510630, China
- Publication Type:Journal Article
- Keywords:
Case report;
Empyema;
Escherichia coli;
Granulicatella adiacens;
Acute aortic dissection
- From:
Cardiology Discovery
2022;02(2):127-130
- CountryChina
- Language:English
-
Abstract:
Both empyema and type A aortic dissection are life-threatening conditions. The combination, though rare, can cause serious complications and death. There have been rare cases of empyema caused by a co-infection with a Gram-positive bacterium, Granulicatella adiacens, which is difficult to identify, and a Gram-negative bacterium, Escherichia coli. In this case, a 50-year-old man was referred to the emergency department due to sudden chest pain and a suspected diagnosis of type A aortic dissection. The patient was subsequently found to have co-morbid empyema and a fissure in the esophagus when the cause of the disease was investigated. Considering the possibility that the patient’s infection was of digestive origin, a combination of Gram-positive and Gram-negative antibiotics was given immediately. Etiological examination later confirmed the presence of Granulicatella adiacens and Escherichia coli in chest drainage fluid, and the patient was successfully treated with antimicrobial therapy and conservative treatment.
