[Pneumopyopericardium--a rare complication following surgical correction of an "upside-down stomach"].
The follow-up period after surgery of an upside-down stomach in a 53-year-old patient was complicated by a pneumopyopericardium due to Candida albicans and Enterococcus. Therapy was performed by pericardial drainage. Local instillations of Mezlocillin (100 mg/l) and Amphotericin B (1 mg/l, Candida-MIC = 0.1 mg/l), over a period of 10 days and followed by a systemic antimycosis with 5-Flucytosin (0.14 g/d/kg over 5 days) and Amphotericin B (0.3 mg/d/kg over 11 days) led to recovery. Six months after discharge from the hospital, echocardiography revealed only a thickened pericardium without hemodynamic disorders.
Peters
W
W
Medizinische Klinik und Poliklinik C, Westfälische Wilhelms-Universität Münster.
Fegeler
W
W
Gülker
H
H
Heuer
H
H
D002177:Candidiasis / Q000628:therapy*; D003131:Combined Modality Therapy; D004322:Drainage; D004452:Echocardiography; D004756:Enterobacteriaceae Infections / Q000628:therapy*; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010493:Pericarditis / Q000628:therapy*; D011026:Pneumopericardium / Q000628:therapy*; D011183:Postoperative Complications / Q000628:therapy*
Pneumopyoperikard--eine seltene Komplikation nach operativer Korrektur eines "Upside-down-stomach".