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Introduction <p>Purulent bacterial pericarditis is a potentially fatal disease with mortality rates reaching 100% if left untreated.</p> Case presentation <p>We present the case of a 33-year-old Caucasian male patient who developed cardiac tamponade, most likely caused by a pyogenic liver abscess communicating with the pericardium. Treatment with antibiotics, extended sepsis therapy, and drainage of the abscess led to a full recovery.</p> Conclusion <p>This report describes a rare but potentially fatal differential diagnosis of aortic dissection and serves as a reminder that lives abscesses can manifest unexpectedly. Clinical signs and symptoms of tamponade can be mistaken as sepsis. In this particular case, the combination of a septic abscess and tamponade caused by pyopericardium posed a diagnostic challenge.</p>

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Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月8日

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  • Carolin Steffen,
  • Josef Sägmüller,
  • Dominique Schöneburg,
  • Eva Göncz,
  • Martin Möckel,
  • Sascha Ott,
  • Alexander Lavinius Ungur,
  • Benjamin O ’Brien

摘要

Introduction

Purulent bacterial pericarditis is a potentially fatal disease with mortality rates reaching 100% if left untreated.

Case presentation

We present the case of a 33-year-old Caucasian male patient who developed cardiac tamponade, most likely caused by a pyogenic liver abscess communicating with the pericardium. Treatment with antibiotics, extended sepsis therapy, and drainage of the abscess led to a full recovery.

Conclusion

This report describes a rare but potentially fatal differential diagnosis of aortic dissection and serves as a reminder that lives abscesses can manifest unexpectedly. Clinical signs and symptoms of tamponade can be mistaken as sepsis. In this particular case, the combination of a septic abscess and tamponade caused by pyopericardium posed a diagnostic challenge.