Key result
Emergency pericardiocentesis and intravenous antibiotics led to the gradual recovery of a 79-year-old male presenting with pyopericardium and cardiac tamponade.
Why the study?
Pyopericardium is a rare condition with high mortality that leads to pus-filled pericardial effusion and cardiac tamponade, potentially causing cardiogenic shock and death.
Case Report (n=1)
No
Highlights the successful management of a rare case of pyopericardium progressing to cardiac tamponade using emergency pericardiocentesis and targeted antimicrobial therapy.
Pyopericardium is a rare condition with a high mortality in which infection propagates in the pericardial space leading to pus filled pericardial effusion and cardiac tamponade, which can cause cardiogenic shock and death. We present a case of previously healthy 79 years old male, who was diagnosed as Tubercular Pericardial effusion in IOM-TUTH, Maharajgung and on Antitubercular Therapy since 2 months. The patient didn’t respond well with the therapy and eventually presented to Chitwan Mutu Aspatal emergency with features of cardiac tamponade. It was confirmed on Two-Dimensional transthoracic Echocardiography and emergency pericardiocentesis drained frank pus around 1000ml. The patient was administered intravenous antibiotics along with continuation of Antitubercular Therapy and other supportive measures leading to gradual recovery of the patient and then discharged on antibiotics.
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Yadav et al. (2022) conducted a case report in Pyopericardium progressing to cardiac tamponade (n=1). Emergency pericardiocentesis and intravenous antibiotics was evaluated on Patient recovery. Emergency pericardiocentesis and intravenous antibiotics led to the gradual recovery of a 79-year-old male presenting with pyopericardium and cardiac tamponade.
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