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Recurrent Post-Pericardiectomy Mediastinal Collection Due to Pasteurella Multocida

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To present a case of recurrent mediastinal collection due to Pasteurella multocida following a pericardiectomy.
Descriptive case report of a 53-year-old man with previous pericardiectomy and post-cat bite infection.
CT scans used for diagnostic imaging; percutaneous drainage and fluid culture for microbial identification.
Long-term antibiotic therapy assessed for effectiveness in preventing recurrence.
An 11-cm loculated mediastinal collection was identified, leading to drainage and positive culture for P. multocida.
Following treatment, the patient experienced recurrent collections despite initially successful management.
Indefinite treatment with amoxicillin-clavulanate resulted in asymptomatic status at one-year follow-up.

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Case report shows recurrent mediastinal infection in a man post-pericardiectomy, suggesting careful management is crucial.

Kumar et al. (2026) studied this question.

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