[Empyema thoracis, hemorrhagic pericarditis and acalculous cholecystitis caused by Eikenella corrodens sepsis].
The authors present a case of a 29-year-old woman who was diagnosed with pneumonia in the left side complicated with pleural effusion and hemorrhagic pericarditis one month after she had undergone tonsillectomy. Eikenella corrodens was identified as pathogenic agent when the empyema was removed during thoracotomy. After the patient was given antibiotic treatment she was discharged from the hospital without any symptoms or complaints. However, one month after she had left the hospital she was readmitted to the surgical unit as an emergency because of acute abdominal complaints. On admission acalculous cholecystitis as well as hemorrhagic pericarditis requiring pericardiocentesis were also observed. A rare cause of sepsis, Eikenella corrodens was identified which resulted in a severe disorder including polyserositis. Pericardiocentesis was performed two times and the patient was given targeted antibiotics and non-steroidal anti-inflammatory drugs. She was also treated with antimycotics as she had developed mycosis. After one month the patient recovered and was discharged from the hospital. No further recurrence of symptoms or complaints was observed during follow up.
Petz Aladár Megyei Oktató Kórház Kardiológiai Osztály Győr Vasvári Pál u. 2-4. 9024.
Csaba András
CA
Dézsi
Tamás
T
Kullmann
Akos
A
Issekutz
Péter
P
Zsoldos
Zsolt
Z
Fi
Albert
A
Szabó
Márta
M
Knausz
Veronika
V
Szentes
F Tamás
FT
Molnár
Zsuzsanna
Z
Szalai
D042101:Acalculous Cholecystitis / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D004322:Drainage; D016124:Eikenella corrodens / Q000302:isolation & purification; D016724:Empyema, Pleural / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D020519:Pericardiocentesis; D010493:Pericarditis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents
Eikenella corrodens; acalculosus cholecystitis; acalculous cholecystitis; empyema; empyema thoracis; haemorrhagiás pericarditis; hemorrhagic pericarditis