A fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent
Salmonella is divided into classical Typhoid and Non-typhoidal serotype (NTS). It is transmitted via fecal oral route. Pericardium involvement in salmonellosis is estimated to be less than 2% of all cases and has mortality rate as high as 50%. 70% of pericarditis cases were identified to be immun...
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my-unisza-ir.14482020-11-16T06:21:25Z http://eprints.unisza.edu.my/1448/ A fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent Yong, T.C. Ahmad Kashfi, A.R. R Medicine (General) RC Internal medicine Salmonella is divided into classical Typhoid and Non-typhoidal serotype (NTS). It is transmitted via fecal oral route. Pericardium involvement in salmonellosis is estimated to be less than 2% of all cases and has mortality rate as high as 50%. 70% of pericarditis cases were identified to be immunosuppressed. Herein, we report a fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent. A 16-years-old boy was referred for CXR finding suggestive of pericardial effusion. He had prolonged cough for 8 months duration, associated with breathlessness and failure symptoms. He had intermittent fever but denied gastrointestinal symptom. Examination revealed signs in consistent with Beck’s triad. Transthoracic echocardiography showed massive effusion and loculations with temponade effect. Subsequent pericardial fluid culture yielded S enteritidis. He underwent pericardialcentesis twice and antibiotic therapy (augmentin, ceftriaxone, ciprofloxacin and meropenam) for 3 weeks. His condition continued to deteriorate and succumbed to death on third week of admission. Salmonella pyogenic pericardial effusion often presents with non-specific cardiac or pulmonic symptomatology and diagnosis often delayed. Echocardiography remained the best tool in confirming pericardial effusion. Pericardialcentesis is vital as organism often detected in pericardial fluid. Salmonella Enteritidis is the commonest organism. Aggressive treatment is crucial. Combination of antibiotic and surgical drainage is the preferred method. Pyogenic non-typhoidal Salmonella pericardial effusion is a rare but deadly disease. Aggressive combination treatment with antibiotic and surgical drainage may improve outcome. 2018 Conference or Workshop Item NonPeerReviewed image en http://eprints.unisza.edu.my/1448/1/FH03-FP-18-20915.jpg text en http://eprints.unisza.edu.my/1448/2/FH03-FP-18-20916.pdf Yong, T.C. and Ahmad Kashfi, A.R. (2018) A fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent. In: UniSZA International Conference On Infectious Diseases (UICID) 2018, 17 Aug 2018, UNISZA. |
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R Medicine (General) RC Internal medicine Yong, T.C. Ahmad Kashfi, A.R. A fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent |
| description |
Salmonella is divided into classical Typhoid and Non-typhoidal serotype (NTS). It is
transmitted via fecal oral route. Pericardium involvement in salmonellosis is estimated to be
less than 2% of all cases and has mortality rate as high as 50%. 70% of pericarditis cases were
identified to be immunosuppressed. Herein, we report a fatal case of non-typhoidal
salmonella pyogenic pericardial effusion in an immunocompetent adolescent. A 16-years-old
boy was referred for CXR finding suggestive of pericardial effusion. He had prolonged cough
for 8 months duration, associated with breathlessness and failure symptoms. He had
intermittent fever but denied gastrointestinal symptom. Examination revealed signs in
consistent with Beck’s triad. Transthoracic echocardiography showed massive effusion and
loculations with temponade effect. Subsequent pericardial fluid culture yielded S enteritidis.
He underwent pericardialcentesis twice and antibiotic therapy (augmentin, ceftriaxone,
ciprofloxacin and meropenam) for 3 weeks. His condition continued to deteriorate and
succumbed to death on third week of admission. Salmonella pyogenic pericardial effusion
often presents with non-specific cardiac or pulmonic symptomatology and diagnosis often
delayed. Echocardiography remained the best tool in confirming pericardial effusion.
Pericardialcentesis is vital as organism often detected in pericardial fluid. Salmonella
Enteritidis is the commonest organism. Aggressive treatment is crucial. Combination of
antibiotic and surgical drainage is the preferred method. Pyogenic non-typhoidal Salmonella
pericardial effusion is a rare but deadly disease. Aggressive combination treatment with
antibiotic and surgical drainage may improve outcome. |
| format |
Conference or Workshop Item |
| author |
Yong, T.C. Ahmad Kashfi, A.R. |
| author_facet |
Yong, T.C. Ahmad Kashfi, A.R. |
| author_sort |
Yong, T.C. |
| title |
A fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent |
| title_short |
A fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent |
| title_full |
A fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent |
| title_fullStr |
A fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent |
| title_full_unstemmed |
A fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent |
| title_sort |
fatal case of non-typhoidal salmonella pyogenic pericardial effusion in an immunocompetent adolescent |
| publishDate |
2018 |
| url |
http://eprints.unisza.edu.my/1448/1/FH03-FP-18-20915.jpg http://eprints.unisza.edu.my/1448/2/FH03-FP-18-20916.pdf http://eprints.unisza.edu.my/1448/ |
| _version_ |
1684657700901748736 |
| score |
13.211869 |