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Rare purulent pericarditis caused by carbapenem-resistant Acinetobacter baumannii: A case report.
- Source :
-
Medicine [Medicine (Baltimore)] 2019 Sep; Vol. 98 (38), pp. e17034. - Publication Year :
- 2019
-
Abstract
- Background: Pericardial infection caused by Acinetobacter baumannii is rare, particularly that of carbapenem-resistant A baumannii (CRAB).<br />Case Presentation: We describe a rare case of purulent pericarditis due to CRAB in a 76-year-old man with acute myocardial infarction and acute kidney injury. The man was admitted to the intensive care unit for a catheter-related bloodstream infection. Pericardial effusion was detected via the bedside X-ray and ultrasound, and pericardiocentesis was performed. Cultures of the pericardial fluid, catheter tip, and blood independently revealed the presence of CRAB. These findings confirmed a diagnosis of purulent pericarditis.<br />Conclusions: Clinicians should be reminded that CRAB infection can lead to purulent pericarditis, particularly in patients with congestive heart failure or renal insufficiency.
- Subjects :
- Acinetobacter Infections complications
Acinetobacter baumannii drug effects
Acute Kidney Injury complications
Aged
Carbapenems pharmacology
Diagnosis, Differential
Drug Resistance, Bacterial
Fatal Outcome
Humans
Male
Non-ST Elevated Myocardial Infarction complications
Pericardiocentesis
Pericarditis complications
Pericarditis diagnostic imaging
Tomography, X-Ray Computed
Acinetobacter Infections diagnosis
Acinetobacter baumannii isolation & purification
Acute Kidney Injury diagnosis
Non-ST Elevated Myocardial Infarction diagnosis
Pericarditis diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1536-5964
- Volume :
- 98
- Issue :
- 38
- Database :
- MEDLINE
- Journal :
- Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 31567940
- Full Text :
- https://doi.org/10.1097/MD.0000000000017034