title: Primary hepatic actinomycosis presenting as purulent pericarditis with cardiac tamponade.
abstract: Cardiac tamponade constitutes an exceptional form of actinomycosis. We describe a case of primary hepatic actinomycosis presenting as purulent pericarditis with cardiac tamponade in a 20-year-old patient with previous esophagectomy and colonic interposition, successfully managed by computed tomography-guided percutaneous drainage and a prolonged course of antibiotic treatment. Actinomyces israelii was identified in the pericardial fluid by 16S rRNA gene sequencing. The literature on the simultaneous presentation of cardiac and hepatic actinomycosis is reviewed.
authors: Unit of Infectious Diseases, Hospital Universitario 12 de Octubre, Universidad Complutense, Avda. de Córdoba, S/N, 28041, Madrid, Spain.
authors: J
authors: J
authors: Llenas-García
authors: A
authors: A
authors: Lalueza-Blanco
authors: M
authors: M
authors: Fernández-Ruiz
authors: J
authors: J
authors: Villar-Silva
authors: M
authors: M
authors: Ochoa
authors: F
authors: F
authors: Lozano
authors: M
authors: M
authors: Lizasoain
authors: J M
authors: JM
authors: Aguado
mesh_terms: D000190:Actinomyces / Q000235:genetics / Q000302:isolation & purification*; D000196:Actinomycosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000628:therapy*; D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000628:therapy; D053821:Cardiovascular Infections / Q000188:drug therapy / Q000382:microbiology / Q000628:therapy; D019818:Clavulanic Acid / Q000627:therapeutic use; D004322:Drainage; D006801:Humans; D046290:Liver Abscess, Pyogenic / Q000188:drug therapy / Q000382:microbiology / Q000628:therapy; D008297:Male; D010490:Pericardial Effusion / Q000188:drug therapy / Q000382:microbiology / Q000628:therapy; D010493:Pericarditis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000628:therapy; D012336:RNA, Ribosomal, 16S / Q000032:analysis; D035583:Rare Diseases; D017423:Sequence Analysis, RNA; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D012336:RNA, Ribosomal, 16S; D019818:Clavulanic Acid; D000658:Amoxicillin