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KMID : 0882420120820020221
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Korean Journal of Medicine
2012 Volume.82 No. 2 p.221 ~ p.226
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A Case of Acute Purulent Pericarditis Complicated by Severe Left Ventricular Systolic Dysfunction and Cardiac Tamponade
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Choi Su-Jin
Chung Woo-Baek
Kim Hyun-Jin
Yim Sun-Mie
Choi Yun-Seok
Park Chul-Soo
Lee Man-Young
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Abstract
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An 85-year-old male visited our hospital because of dyspnea. Chest radiography showed marked cardiomegaly and pneumonic infiltration. Transthoracic echocardiography showed moderate pericardial effusion, which resulted in effusive constrictive pericarditis and severe left ventricular systolic dysfunction. During the hospital course, the patient developed cardiogenic shock and was treated with an inotropic agent and intra-aortic balloon pump. The patient’s vital signs were stabilized after pericardiocentesis and drainage. A yellowish purulent pericardial effusion was drained and Streptococcus pneumoniae was isolated. Bacterial purulent pericarditis was not uncommon before the antibiotics era, but it is extremely rare nowadays. Here, we report a case of purulent bacterial pericarditis presenting with severe left ventricular systolic dysfunction and cardiac tamponade.
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KEYWORD
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Pericarditis, Cardiac tamponade, Ventricular dysfunction
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