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Case Reports in Medicine
Volume 2014, Article ID 735478, 3 pages
http://dx.doi.org/10.1155/2014/735478
Case Report

Purulent Pericarditis after Liver Abscess: A Case Report

1General Surgery and Digestive Surgery Department, University Hospital Marqués de Valdecilla, Santander, 39008 Cantabria, Spain
2University of Cantabria, Santander, 39005 Cantabria, Spain

Received 18 February 2014; Revised 25 March 2014; Accepted 14 April 2014; Published 29 April 2014

Academic Editor: Michael S. Firstenberg

Copyright © 2014 María Fidalgo García et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present the case of a 49-year-old woman, with previous clinical antecedents of recent hepatic metastasis, who was admitted to the ICU due to respiratory failure and hemodynamic instability. She was found to have purulent pericarditis complicated by pericardial tamponade and pleural effusion, as well as surgical site infection, which was the origin of the disease. Cultures of the surgical wound and the pericardial effusion were positive for Enterococcus faecalis and Escherichia coli. A pericardial tap was performed and the intra-abdominal abscess was surgically drained. Pleural effusion was also evacuated. She received antibiotic treatment and recovered successfully. The only after-effect was a well-tolerated effusive-constrictive pericarditis.