Key result
Medical management fails to resolve multidrug-resistant septic pericarditis from an oesophageal foreign body, prompting euthanasia.
Why the study?
Septic pericarditis and pneumopericardium are rare conditions in dogs, with limited reports linking them to oesophageal foreign bodies and multidrug-resistant infections.
Case Report (n=1)
This case report describes a rare instance of multidrug-resistant polybacterial septic pericarditis and pneumopericardium in a dog, caused by an esophageal foreign body.
Alerts clinicians to MDR septic pericarditis in dogs with effusion; leaves open optimal therapy and prevalence.
A 5-year-old, intact, male Yorkshire Terrier presented with a 6-day history of lethargy and anorexia. Clinical examination revealed dental plaque accumulation, abdominal effort during respiration and muffled heart sounds. Thoracic radiographs revealed an enlarged globoid cardiac silhouette and mild pneumopericardium, transthoracic ultrasonography revealed a pericardial effusion after which pericardiocentesis, cytology and culture diagnosed septic pericarditis. Three multidrug-resistant bacteria were isolated, two of which have been implicated in gas-producing infections before. Medical management failed to resolve the pericarditis and euthanasia was opted for. A chronic osseocartilaginous oesophageal foreign body cranial to the heart base was found on necropsy. Septic pericarditis and pneumopericardium are rare conditions in dogs. This is the first case to describe a multidrug-resistant polybacterial aetiology causing mild pneumopericardium and only the second case to describe septic pericarditis associated with an oesophageal foreign body.
No takes yet. Share an insight, caveat, or question.
Botha et al. (2017) conducted a case report in Septic pericarditis and pneumopericardium (n=1). Medical management and pericardiocentesis was evaluated on Resolution of pericarditis. Medical management failed to resolve septic pericarditis and mild pneumopericardium caused by a multidrug-resistant polybacterial infection from an oesophageal foreign body, leading to euthanasia.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: