Key result
Pericardiectomy and antibiotic therapy successfully treated a 49-year-old man with the first reported case of Fusobacterium nucleatum pericarditis.
Case Report (n=1)
No
This represents the first reported case of Fusobacterium nucleatum pericarditis, which was successfully treated with pericardiectomy and antibiotics after failing initial antituberculosis therapy.
Answers are grounded in this paper and cite their sources.
Fusobacterium should be considered in TB-unresponsive pericarditis; leaves open anaerobic etiology in culture-negative cases.
A pericardial effusion was diagnosed by echocardiography in a 49 year old man who suffered acute cough, orthopnea, and chest pain. Because of a positive tuberculin skin test, mycobacteria were initially suspected as the cause of the pericarditis. The patient was therefore treated with antituberculosis drugs. The pericardial effusion failed to resolve, however, and pericardiectomy was performed. Culture of the pericardial fluid yielded pure Fusobacterium nucleatum growth. The patient responded to antibiotic therapy and was in good health 3 weeks after being discharged from the hospital. This represents the first report of F. nucleatum pericarditis.
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Truant et al. (1983) conducted a case report in Fusobacterium nucleatum pericarditis (n=1). Pericardiectomy and antibiotic therapy was evaluated on Clinical recovery. Pericardiectomy and antibiotic therapy successfully treated a 49-year-old man with the first reported case of Fusobacterium nucleatum pericarditis.
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