Cardiac tamponade likely due to candida infection, in an immunocompetent patient

Ann Cardiol Angeiol (Paris). 2013 Apr;62(2):122-3. doi: 10.1016/j.ancard.2011.07.002. Epub 2011 Aug 17.

Abstract

Candida pericarditis is a rare disease described mainly in immunodepressed patients. Here we report the case of a 76-year-old immunocompetent woman who developed a purulent pericarditis 48 hours after pericardiocentesis. Usual etiologies such as cancer or pericardo-oesophageal fistula, were ruled out. Physical examination revealed a sub-mammary mycosis, which could have led to the infection. The early diagnosis and treatment with a combined medical and surgical approach succeeded in a favorable evolution of this case.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antifungal Agents / therapeutic use
  • Body Mass Index
  • Candidiasis / complications*
  • Cardiac Tamponade / diagnosis
  • Cardiac Tamponade / microbiology*
  • Cardiac Tamponade / therapy*
  • Early Diagnosis
  • Female
  • Humans
  • Hypertension / complications
  • Immunocompetence*
  • Obesity / complications
  • Pericardiocentesis* / adverse effects
  • Pericarditis / microbiology
  • Pericarditis / therapy
  • Pleurisy / microbiology
  • Pleurisy / therapy
  • Pneumonia, Bacterial / complications
  • Recurrence
  • Risk Factors
  • Treatment Outcome

Substances

  • Antifungal Agents