title: [A man with Candida pyopneumopericarditis and cardiac tamponade in conjunction with gastric tube infection].
abstract: A 55-year-old man who had undergone oesophagectomy with retrosternal gastric tube reconstruction for oesophageal carcinoma several years before, presented with retrosternal pain, fever and chills. He appeared to have Candida glabratarelated pyopneumopericarditis and a fungal infection in the gastric tube. Because of cardiac tamponade, the pericardium was surgically drained. The patient was given antibiotics and fluconazole. He left the hospital after one month in relatively good condition. Two months later, he was readmitted for haematemesis. During an emergency surgical procedure a fistula was found between the gastric tube and the left atrium. For these patients is early treatment of the underlying cause lifesaving. Monthly check-ups in an outpatient clinic are needed due to the risk of constrictive pericarditis and recurrent cardiac tamponade.
authors.affiliation: Universitair Medisch Centrum St Radboud, Postbus 9101, 6500 HB Nijmegen. l.vanbeek@cardio.umcn.nl
authors.forename: L M
authors.initials: LM
authors.lastname: van Beek
authors.forename: J J
authors.initials: JJ
authors.lastname: Landman
authors.forename: F W A
authors.initials: FW
authors.lastname: Verheught
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D041221:Candida glabrata / Q000254:growth & development* / Q000302:isolation & purification; D002177:Candidiasis / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D002305:Cardiac Tamponade / Q000209:etiology* / Q000382:microbiology; D004938:Esophageal Neoplasms / Q000601:surgery; D004947:Esophagus / Q000601:surgery; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology* / Q000382:microbiology; D020519:Pericardiocentesis; D010493:Pericarditis / Q000209:etiology* / Q000382:microbiology; D011379:Prognosis; D016459:Prosthesis-Related Infections / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D012008:Recurrence; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D015725:Fluconazole