title: Broncho-pleuropericardial fistula complicating staphylococcal sepsis.
abstract: This is a rare case of broncho-pleuropericardial fistula in a 12-year-old female who presented with fever, painful joint swelling, and pleural and pericardial effusion secondary to disseminated methicillin-sensitive Staphylococcus aureus infection. The pleural and pericardial effusion were drained, however, air leak was observed from both tubes and was synchronous with mechanical inspiration. A broncho-pleuropericardial fistula was suspected and confirmed with computed tomography. This case report demonstrated that disseminated S. aureus bacteremia could result in broncho-pleuropericardial fistula. The ability of disseminated staphylococcal infection to produce pnemopericardium should be added to the list of other complications associated with disseminated staphylococcal sepsis.
authors.affiliation: Department of Anesthesia and Critical Care, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Abeer A
authors.initials: AA
authors.lastname: Arab
authors.forename: Maan A
authors.initials: MA
authors.lastname: Kattan
authors.forename: Walid A
authors.initials: WA
authors.lastname: Alyafi
authors.forename: Jamal A
authors.initials: JA
authors.lastname: Alhashemi