Purulent pericarditis with Salmonella enteritidis in a patient with CD4/CD8 depression.
A 65-year-old man was admitted for high-grade fever with a shaking chill and general fatigue. Chest X-ray showed cardiomegaly, and echocardiography revealed a large amount of pericardial effusion. Emergency pericardiocentesis was performed, and Salmonella enteritidis was found in pericardial fluids. We diagnosed purulent pericarditis with S. enteritidis, and administered antibiotics. While high-grade fever resolved 10 days after beginning of treatment, effusive-constrictive pericarditis (ECP) without definite symptoms persisted for 2 months. Because of the improvement of his hemodynamic states on cardiac catheterization after 1 year, an operative procedure was not required. He was diagnosed as having CD4/CD8 depression without apparent diseases. There are few reports of pericarditis with S. enteritidis, and we believe this case might be only the second recorded case of ECP with S. enteritidis.
Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan. ytakamiya2007@yahoo.co.jp
Yosuke
Y
Takamiya
Kazuyuki
K
Shirai
Masahiro
M
Fujino
Nathan
N
Miller
Yoshihiro
Y
Tsuchiya
Masanori
M
Okabe
Keijiro
K
Saku
D000368:Aged; D016516:CD4-CD8 Ratio; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D010494:Pericarditis, Constrictive / Q000209:etiology*; D012480:Salmonella Infections / Q000209:etiology*; D012477:Salmonella enteritidis; D013492:Suppuration