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A Case of Pericardial Tamponade in a Korean Man with Pericardial Abscess due to Bacteroides fragilis
Seok Yeon Kim, M.D.1, Soo-Young Moon, M.D.1, Kyung-Yup Kim, M.D.1, Sung Jin Kwon, M.D.1 Myeong Kon Kim, M.D.1, Mi Suk Lee, M.D.1 and Hee-Joo Lee, M.D.2
Department of Internal Medicine1 and Diagnostic Laboratory Medicine2, Kyung Hee University School of Medicine, Seoul, Korea
Vol.39 Num.6 (p314~317)
Purulent pericarditis is a rare, life-threatening condition and usually involves the whole pericardium. However only few cases have been reported in which a loculated pericardial abscess occurred from purulent pericarditis. The prevalence of acute pericarditis due to bacteria was 6%. Purulent pericarditis due to anaerobic bacteria has been reported less frequently than aerobic bacteria. There was no report about purulent pericarditis due to Bacteroides fragilis in Korea until now. So we report the first case of pericardial abscess due to B. fragilis in 59 year old Korean male with history of chronic renal failure and hemodialysis, that was complicated with pericardial tamponade.
Keywords : Cardiac tamponade, Pericardial abscess, Bacteroides fragilis