Fatal Systemic Nocardia Infection Revealed by Cardiac Tamponade
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概要
- 論文の詳細を見る
We report the case of a 50-year-old man admitted for cardiac tamponade. He was diagnosed with acute pneumonia. He had no previous medical history, but exhibited a body mass index of 41. Two days before admission, he complained of chest pain irradiating to the neck lateral side. Massive cardiac tamponade developed over 48 hours. There was no obvious cause for immunodepression. Pericardial puncture was ineffective, due to obesity and fluid high viscosity. Surgery was undertaken (Marfan intervention). Pericardial fluid was found to be purulent; direct examination revealed nocardia as bacteria with typical filamentous, branching rods. Despite adapted antibiotic treatment the patient died within a few hours. Acute pericarditis due to Nocardia is discussed.
- 社団法人 日本内科学会の論文
著者
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Roubille Francois
Department Of Cardiology Hopital Arnaud De Villeneuve Centre Hospitalier Universitaire
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Battistella Pascal
Department of Cardiothoracic Surgery, Arnaud de Villeneuve University Hospital
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Albat Bernard
Department of Cardiothoracic Surgery, Arnaud de Villeneuve University Hospital
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Serre Isabelle
Department of Anatomy, Lapeyronie University Hospital
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Maxant Guillaume
Department of Cardiothoracic Surgery, Arnaud de Villeneuve University Hospital
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Pasquié Jean-Luc
Department of Cardiology, Arnaud de Villeneuve University Hospital
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Colson Pascal
Cardiothoracic Surgery Intensive Care Unit, Arnaud de Villeneuve University Hospital
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Calvet Brigitte
Cardiothoracic Surgery Intensive Care Unit, Arnaud de Villeneuve University Hospital
関連論文
- Repeated High Doses of Clopidogrel in 2 Cases of Pharmacological Resistance
- Fatal Systemic Nocardia Infection Revealed by Cardiac Tamponade