AI Summary & Key Takeaways
AI InsightA multidisciplinary treatment approach with the cardiology and infectious disease departments was critical to successful management of this case
📌 3 Key Takeaways
Abstract
A 77-year-old man with a past medical history of myelodysplastic syndrome, coronary artery disease, hyper- tension, and chronic atrial fibrillation presented at the hema- tology outpatient clinic with progressive shortness of breath, weakness, and chest and back pain. Echocardiography was performed and the patient was diagnosed with severe peri- cardial effusion near the right ventricle. Pericardial drainage was performed. Erysipelothrix rhusiopathiae was isolated from the pericardial fluid. Complications of respiratory and re- nal failure developed during follow-up. The clinical and labo- ratory findings of vegetation on the tricuspid valve, pericardial effusion, and atrial fibrillation with a low heart rate suggested possible pancarditis. A multidisciplinary treatment approach with the cardiology and infectious disease departments was critical to successful management of this case
Özet
Miyelodisplastik sendrom, koroner arter hastalığı, hipertansiyon ve kronik atriyal fibrilasyon öyküsü olan 77 yaşında erkek hasta nefes darlığı, yorgunluk sırt ve göğüs ağrısı ile hematoloji kliniğine başvurdu. Ekokardiyografik incelemede ileri derecede perikardiyal sıvı saptanarak tanı- sal amaçlı perikardiyosentez uygulandı. Sıvının kültüründe Erysipelothrix rhusiopathiae izole edildi. İzlemde solunum yetersizliği, böbrek yetersizliği ve triküspid kapakta veje- tasyon gelişen hastanın kan, perikard ve plevra kültüründe Acinetobacter baumannii üremesi üzerine antibiyotik teda- visi düzenlendi. Kardiyoloji ve enfeksiyon hastalıklar kliniği ile multidisipliner bir tedavi yaklaşımı bu olgunun başarıyla tedavisinde kritik önemdeydi.