Infective endocarditis and acute purulent pericarditis in a patient with hyperglycemia

被引：12

作者：

Oki, K

Matsuura, W

Saito, Y

Ono, Y

Yanagihara, K

Sueshiro, M

Morita, S

Koide, J

Maeda, A

机构：

[1] Natl Hosp Org Higashihiroshima Med Ctr, Dept Internal Med, Higashihiroshima 7390041, Japan

[2] Natl Hosp Org Higashihiroshima Med Ctr, Dept Cardiovasc Surg, Higashihiroshima 7390041, Japan

来源：

INTERNAL MEDICINE | 2005年 / 44卷 / 06期

关键词：

immunocompromised state; diabetic ketoacidosis; operation; percutaneous pericardiocentesis;

D O I：

10.2169/internalmedicine.44.666

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A diabetic patient was admitted to our hospital for infective endocarditis with acute purulent pericarditis and diabetic ketoacidosis. Echocardiography revealed attachment of vegetation to the chordae tendineae in the left ventricle and pericaridial effusion. The vegetation was enlarged and pendulated for a few days despite maximal antimicrobial therapy. Surgical resection was desirable to decrease the risk of embolic complications and cardiovascular collapse. We could not open the heart because of accumulation of purulent pericardial fluid, and right renal infarction was complicated. We believe that the immunocompromised and hypercoagulable state due to diabetes caused these conditions.

引用

页码：666 / 670

页数：5

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