title: Gas-containing pericardial abscess in a type 2 diabetic patient.
abstract: 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.
authors.affiliation: Department of Metabolism and Endocrinology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
authors.forename: Chiharu
authors.initials: C
authors.lastname: Ide
authors.forename: Sadanori
authors.initials: S
authors.lastname: Takeo
authors.forename: Takemi
authors.initials: T
authors.lastname: Kawara
authors.forename: Shigeki
authors.initials: S
authors.lastname: Morita
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Hiramatsu
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Sakai
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Yoshizumi
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ogo
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D005740:Gases; D005719:gamma-Globulins