Pyopericardium with cardiac tamponade caused by pyogenic liver abscess: a case report
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Authors
Steffen C.
Sagmuller J.
Schoneburg D.
Goncz E.
Mockel M.
Ott S.
Ungur A.L.
O 'Brien,B.
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Issue Date
2025
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Article
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Abstract
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(s): 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. Copyright © The Author(s) 2025.
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Journal of Medical Case Reports
Volume
19
Issue
1