[Case report: Purulent pericarditis caused by candida species–a rare but life-threatening disease in intensive care medicine].

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[Case report: Purulent pericarditis caused by candida species--a rare but life-threatening disease in intensive care medicine].

Anasthesiol Intensivmed Notfallmed Schmerzther. 2013 Mar;48(3):144-9

Authors: Hensel M, Reinartz R, Koch C, Nachtigall I, Marnitz R

Abstract
We report a case of a male patient with drug abuse in his medical history who was hospitalized because of a community acquired pneumonia. Subsequently the patient developed an acute lung injury (ARDS) and a fulminant purulent pericarditis accompanied by a pericardial effusion. Caused by the pericardial tamponade cardiac function was severely restricted. Due to fast diagnosis and immediate adequate therapy such as systemic anti-fungal treatment, pericardiocentesis, percutaneous drainage, and later surgical intervention the patient was treated successfully. This article describes etiology, pathophysiology and symptoms of purulent Candida-pericarditis and gives a review of existing literature regarding this extremely rare disease. In addition therapeutic options are discussed.

PMID: 23589008 [PubMed - indexed for MEDLINE]