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Korean J Crit Care Med > Volume 28(1); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(1): 51-55. doi: https://doi.org/10.4266/kjccm.2013.28.1.51
폐렴간균(Klebsiella pneumoniae) 패혈증의 합병증으로 발생한 화농성 심장막염
정병호ㆍ정승민*ㆍ권희진†ㆍ전경만
성균관대학교 의과대학 삼성서울병원 호흡기내과, *순환기내과, †내과
A Case of Purulent Pericarditis Complicated by Klebsiella pneumoniae Sepsis - A Case Report -
Byeong Ho Jeong, Seungmin Chung, Hee Jin Kwon, Kyeongman Jeon
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kjeon@skku.edu
2Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
3Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
ABSTRACT
Although the incidence of purulent pericarditis has decreased significantly in the modern antibiotic era, purulent pericarditis remains a life-threatening disease. Therefore, a high index of clinical suspicion should be maintained to diagnose this life-threatening illness at an early stage. We report an extraordinary case of purulent pericarditis, caused by Klebsiella pneumoniae bacteremia, which developed during the recovery of septic shock with urinary tract infection. Despite of early diagnosis and pericardial drainage, in addition to adequate antibiotics, the patient subsequently developed multiple organ failure leading to death. The case highlights that purulent pericarditis is a rare yet possible disorder complicated from septic shock with bacteremia in the antibiotic era. Therefore, purulent pericarditis should always be considered as a possible complication, especially in patients with K. pneumoniae bacteremia and progressive cardiomegaly.
Key Words: Klebsiella pneumoniae; Pericarditis; Sepsis
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