Gas-containing pericardial abscess in a type 2 diabetic patient.
A 63-year-old male with type 2 diabetes mellitus was admitted to our hospital with fever and chest pain. An echocardiogram, chest CT and MRI showed the gas-containing pericardial abscess located posteriol to the right atrium. He was initially treated by thoracoscopic pericardial fenestration to set a drainage tube in the pericardial abscess. However, the surgical treatment was discontinued because of a large amount of bleeding from the abscess wall. The patient was then treated by continued administration of antibiotics and gamma-globulin. The inflammatory reactions improved and shrinkage of the abscess was confirmed.
Ide
Chiharu
C
Department of Metabolism and Endocrinology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Takeo
Sadanori
S
Kawara
Takemi
T
Morita
Shigeki
S
Hiramatsu
Shinsuke
S
Sakai
Yoshiyuki
Y
Yoshizumi
Hideyuki
H
Ogo
Atsushi
A
D000038:Abscess / Q000175:diagnosis / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D006348:Cardiac Surgical Procedures; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004322:Drainage; D005740:Gases; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010496:Pericardium; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D005719:gamma-Globulins / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D005740:Gases; D005719:gamma-Globulins