title: Purulent pericarditis after liver abscess: a case report.
abstract: We present the case of a 49-year-old woman, with previous clinical antecedents of recent hepatic metastasis, who was admitted to the ICU due to respiratory failure and hemodynamic instability. She was found to have purulent pericarditis complicated by pericardial tamponade and pleural effusion, as well as surgical site infection, which was the origin of the disease. Cultures of the surgical wound and the pericardial effusion were positive for Enterococcus faecalis and Escherichia coli. A pericardial tap was performed and the intra-abdominal abscess was surgically drained. Pleural effusion was also evacuated. She received antibiotic treatment and recovered successfully. The only after-effect was a well-tolerated effusive-constrictive pericarditis.
authors.affiliation: General Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Fidalgo García
authors.affiliation: General Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, Spain ; University of Cantabria, Santander, 39005 Cantabria, Spain.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Rodríguez Sanjuán
authors.affiliation: General Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Riaño Molleda
authors.affiliation: General Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: González Andaluz
authors.affiliation: General Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, Spain.
authors.forename: Hector
authors.initials: H
authors.lastname: Real Noval
authors.affiliation: General Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, Spain ; University of Cantabria, Santander, 39005 Cantabria, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Gómez Fleitas