In:
Diabetic Medicine, Wiley, Vol. 31, No. 7 ( 2014-07)
Kurzfassung:
The onset of diabetes was manifested in the present case by an extremely high HbA 1c concentration, ketoacidosis, multi‐site abscesses and purulent pericarditis. Purulent pericarditis is rare in the current antibiotic era, particularly in combination with ketoacidosis. There are several mechanisms by which purulent pericarditis can occur; direct extension from a nearby infection is the most common, but hematogenous spread can also be the cause, as was considered to be the case in our patient. After unsuccessful attempts to treat the patient's purulent pericarditis with non‐surgical treatments such as prolonged antibiotic therapy, pericardiocentesis, and intrapericardial thrombolytic therapy, it was finally successfully cured by surgical debridement and pericardiectomy.
Materialart:
Online-Ressource
ISSN:
0742-3071
,
1464-5491
DOI:
10.1111/dme.2014.31.issue-7
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2014
ZDB Id:
2019647-7
