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Primary hepatic actinomycosis presenting as purulent pericarditis with cardiac tamponade [artículo]

Por: Aguado García, José María [Enfermedades Infecciosas] | Fernández Ruiz, Mario [Medicina Interna] | Lalueza Blanco, Antonio [Enfermedades Infecciosas] | Lizasoaín Hernández, Manuel [Medicina Interna] | Llenas García, Jara [Medicina Interna] | Lozano Ojeda, Francisco [Radiodiagnóstico] | Ochoa, M [Medicina Intensiva] | Villar-Silva, J [Microbiología y Parasitología].
Colaborador(es): Servicio de Medicina Interna | Servicio de Medicina Intensiva | Servicio de Microbiología y Parasitología | Servicio de Radiodiagnóstico.
Editor: Infection, 2012Descripción: 40(3):339-341.Recursos en línea: Solicitar documento Resumen: Cardiac tamponade constitutes an exceptional form of actinomycosis. We describe a case of primary hepatic actinomycosis presenting as purulent pericarditis with cardiac tamponade in a 20-year-old patient with previous esophagectomy and colonic interposition, successfully managed by computed tomography-guided percutaneous drainage and a prolonged course of antibiotic treatment. Actinomyces israelii was identified in the pericardial fluid by 16S rRNA gene sequencing. The literature on the simultaneous presentation of cardiac and hepatic actinomycosis is reviewed.
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Formato Vancouver:
Llenas-García J, Lalueza-Blanco A, Fernández-Ruiz M, Villar-Silva J, Ochoa M, Lozano F, et al. Primary hepatic actinomycosis presenting as purulent pericarditis with cardiac tamponade. Infection. 2012;40(3):339-41.

PMID: 22002733

Contiene 14 referencias

Cardiac tamponade constitutes an exceptional form of actinomycosis. We describe a case of primary hepatic actinomycosis presenting as purulent pericarditis with cardiac tamponade in a 20-year-old patient with previous esophagectomy and colonic interposition, successfully managed by computed tomography-guided percutaneous drainage and a prolonged course of antibiotic treatment. Actinomyces israelii was identified in the pericardial fluid by 16S rRNA gene sequencing. The literature on the simultaneous presentation of cardiac and hepatic actinomycosis is reviewed.

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