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KMID : 0364019740070010079
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Korean Journal of Thoracic and Cardiovascular Surgery
1974 Volume.7 No. 1 p.79 ~ p.83
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Clinical observation of acute suppurative pericarditis
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馬重成/Mah, J.S.
李正浩/柳英善/柳會性/Lee, J.H./Yoo, Y.S./Yoo, H.S.
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Abstract
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Acute suppurative pericarditis is recognized as a rare disease since development of antibiotics but therapeutically as an important one. To our knowledge, acute suppurative pericarditis alone has not been reported previously in Korea.
In this paper, we report 5 cases of acute suppurative pericarditis which were experienced during the period between January 1959 and December 1973. The patients ranged in age from 9 months to 59 years at the time of admission. Four of 5 patients were male and one female. Acute suppurative pericarditis is usually associated with pneumonia, empyema, sepsis, osteoarthritis, lung abscess, cholecystitis or tonsillitis. In our series, pneumonia was the most. common associated disease. One patient had osteoarthritis. Pleural effusions were observed in three of the 5 patients.
Staphylococcus aureus was cultured from pericardial fluid in 4 patients and also cultured from both pericardial and synovial fluid in one. Three of the 5 patients had cardiac tamponade and one patient required prompt pericardiocentesis. 3 of the 5 patients were treated with antibiotics and pericardiostomy, one with antibiotics and pericardiocentesis, and one with antibiotics and saline irrigation through drainage sinus from the pericardial sac.
Four of the five patients were recovered without pericardial constriction. One was discharged with poor condition. In this instance, follow-up study couldn´t be made.
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