title: [Purulent pericarditis in a patient with diabetes mellitus treated by percutaneous pericardiocentesis].
abstract: Purulent pericarditis seldom occurs in Western countries, yet its mortality rate remains high between 20 and 35 % despite early treatment. We report the case of a 43-year-old patient admitted in the intensive cardiologic care unit with a pre-tamponade, requiring an immediate percutaneous pericardiocentesis allowing the drainage of a purulent effusion. Evolution with antibiotic therapy adapted according to the bacteriological findings was favorable and 3-months follow-up shows a near complete regression of the effusion. This case recalls us this rare diagnosis entity and illustrates the possibility of a mere percutaneous pericardial drainage with the condition of a strict medical surveillance.
authors.affiliation: Institut cardiovasculaire, groupe hospitalier mutualiste de Grenoble, 8, rue Dr.-Calmette, 38000 Grenoble, France. Electronic address: A.ROUGE@ghm-grenoble.fr.
authors.forename: A
authors.initials: A
authors.lastname: Rougé
authors.affiliation: Institut cardiovasculaire, groupe hospitalier mutualiste de Grenoble, 8, rue Dr.-Calmette, 38000 Grenoble, France.
authors.forename: J
authors.initials: J
authors.lastname: Wintzer-Wehekind
authors.affiliation: Institut cardiovasculaire, groupe hospitalier mutualiste de Grenoble, 8, rue Dr.-Calmette, 38000 Grenoble, France.
authors.forename: B
authors.initials: B
authors.lastname: Demailly
authors.affiliation: Institut cardiovasculaire, groupe hospitalier mutualiste de Grenoble, 8, rue Dr.-Calmette, 38000 Grenoble, France.
authors.forename: M
authors.initials: M
authors.lastname: Abdellaoui
authors.affiliation: Institut cardiovasculaire, groupe hospitalier mutualiste de Grenoble, 8, rue Dr.-Calmette, 38000 Grenoble, France.
authors.forename: B
authors.initials: B
authors.lastname: Faurie
authors.affiliation: Institut cardiovasculaire, groupe hospitalier mutualiste de Grenoble, 8, rue Dr.-Calmette, 38000 Grenoble, France.
authors.forename: J
authors.initials: J
authors.lastname: Monségu
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002305:Cardiac Tamponade / Q000628:therapy; D003131:Combined Modality Therapy; D048909:Diabetes Complications / Q000628:therapy*; D004322:Drainage; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000628:therapy*; D020519:Pericardiocentesis / Q000379:methods*; D010493:Pericarditis / Q000628:therapy*; D013203:Staphylococcal Infections / Q000628:therapy*; D041181:Staphylococcus hominis; D013290:Streptococcal Infections / Q000628:therapy*; D034367:Streptococcus intermedius
chemical_list: D000900:Anti-Bacterial Agents
keywords: Drainage péricardique; Pericardiocentesis; Purulent pericarditis; Péricardite purulente