title: Afebrile spontaneous pneumopyopericardium.
abstract: A 77-year-old woman had spontaneous pneumopyopericardium caused by Klebsiella pneumoniae. Chest X-ray revealed a horizontal air-fluid level in the cardiac shadow. Echocardiogram showed characteristic spontaneous contrast echoes in the pericardial effusion. She received pericardiectomy and remained in good condition postoperatively.
authors.affiliation: Department of Internal Medicine, National Cheng Kung University Hospital, Taiwan, ROC.
authors.forename: W C
authors.initials: WC
authors.lastname: Tsai
authors.forename: L J
authors.initials: LJ
authors.lastname: Lin
authors.forename: J H
authors.initials: JH
authors.lastname: Chen
authors.forename: M H
authors.initials: MH
authors.lastname: Wu
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications*; D007711:Klebsiella pneumoniae / Q000302:isolation & purification*; D010490:Pericardial Effusion / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D010492:Pericardiectomy; D011026:Pneumopericardium / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed