Gas-containing pericardial abscess in a type 2 diabetic patient

A 63-year-old male with type 2 diabetes mellitus was admitted to our hospital with fever and chest pain. An echocardiogram, chest CT and MRI showed the gas-containing pericardial abscess located posteriol to the right atrium. He was initially treated by thoracoscopic pericardial fenestration to set...

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Bibliographic Details
Published inFukuoka igaku zasshi = Hukuoka acta medica Vol. 100; no. 3; p. 81
Main Authors Ide, Chiharu, Takeo, Sadanori, Kawara, Takemi, Morita, Shigeki, Hiramatsu, Shinsuke, Sakai, Yoshiyuki, Yoshizumi, Hideyuki, Ogo, Atsushi
Format Journal Article
LanguageEnglish
Published Japan 25.03.2009
Subjects
Abscess - diagnosis
Abscess - therapy
Anti-Bacterial Agents - administration & dosage
Cardiac Surgical Procedures
Diabetes Mellitus, Type 2 - complications
Drainage
gamma-Globulins - administration & dosage
Gases
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Pericardium
Thoracoscopy
Tomography, X-Ray Computed
Treatment Outcome
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Summary:A 63-year-old male with type 2 diabetes mellitus was admitted to our hospital with fever and chest pain. An echocardiogram, chest CT and MRI showed the gas-containing pericardial abscess located posteriol to the right atrium. He was initially treated by thoracoscopic pericardial fenestration to set a drainage tube in the pericardial abscess. However, the surgical treatment was discontinued because of a large amount of bleeding from the abscess wall. The patient was then treated by continued administration of antibiotics and gamma-globulin. The inflammatory reactions improved and shrinkage of the abscess was confirmed.
ISSN:0016-254X