Cardiac tamponade and septic shock caused by viral infection in a previously healthy woman

2005 ◽  
Vol 49 (9) ◽  
pp. 1384-1386 ◽  
Author(s):  
J. J. Laurila ◽  
T. I. Ala-Kokko ◽  
H. Tuokko ◽  
H. Syrjala
2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Christina Walker ◽  
Vincent Peyko ◽  
Charles Farrell ◽  
Jeanine Awad-Spirtos ◽  
Matthew Adamo ◽  
...  

Abstract Background This case report demonstrates pericardial effusion, acute pericarditis, and cardiac tamponade in an otherwise healthy woman who had a positive test result for coronavirus disease 2019. Few case reports have been documented on patients with this presentation, and it is important to share novel presentations of the disease as they are discovered. Case presentation A Caucasian patient with coronavirus disease 2019 returned to the emergency department of our hospital 2 days after her initial visit with worsening chest pain and shortness of breath. Imaging revealed new pericardial effusion since the previous visit. The patient became hypotensive, was taken for pericardial window for cardiac tamponade with a drain placed, and was treated for acute pericarditis. Conclusion Much is still unknown about the implications of coronavirus disease 2019. With the novel coronavirus disease 2019 pandemic, research is still in process, and we are slowly learning about new signs and symptoms of the disease. This case report documents a lesser-known presentation of a patient with coronavirus disease 2019 and will help to further understanding of a rare presentation.


2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Shahin Gaini ◽  
David Gudnason ◽  
Bjarni á Steig ◽  
Jenny Jónsdóttir Nielsen

A 66 years old Caucasian woman with pneumococcal meningitis was treated and discharged after an uncomplicated course. Five months later she was readmitted withfever and right side abdominal pain and diagnosed with pneumococcal spondylodiscitis. One year later she was treated fora severe chest X-ray confirmed left lobar pneumonia. Two years later she was diagnosed with a pneumococcal pneumonia inher left lung with septic shock. An immunedeficiency screen revealed slightly reduced IgA levels, low IgG2 levels, low IgG3 levels and high IgG1 levels. No other immunedefects were identified. She did not respondserologically on vaccination with 13-valentconjugate and 23-valent polysaccharide pneumococcal vaccines. Further evaluations revealed a positive M-component inher blood and a bone marrow biopsy diagnosed her to have monoclonal gammopathy of undetermined significance. To protecther against future life threatening pneumococcal infections she was started on treatment with intravenous immunoglobulin. The case report illustrates the importance of thorough evaluation of patients with unusual infectious disease entities or unusual frequency of infections in individual patients. To optimize prophylactic measures and active treatment options in the individual patient, it is important to identify underlying causes of diseases and immune deficiencies that potentially can lead to life threatening infections. This is illustrated inour case by an undiagnosed monoclonal gammopathy of undetermined significancein an apparently healthy woman with atleast three life threatening documented pneumococcal infections in a two-year period and poor pneumococcal vaccine response


2010 ◽  
Vol 3 (3) ◽  
pp. 306 ◽  
Author(s):  
Afzal Azim ◽  
PB Rao ◽  
Piyush Srivastav ◽  
Parikshit Singh

1995 ◽  
Vol 21 (3) ◽  
pp. 226-228 ◽  
Author(s):  
S. Ishihara ◽  
M. Takino ◽  
Y. Okada ◽  
K. Mimura
Keyword(s):  

Author(s):  
Martin Beed ◽  
Richard Sherman ◽  
Ravi Mahajan

Cardiac arrestHypotension and shockAnaphylaxisHaemorrhagic shockSeptic shockCardiogenic shockAcute coronary syndromesBradycardiaTachycardiaCardiac tamponadeHypertensive crisesCritical care teams are often involved in the resuscitation of in-hospital cardiac arrests, and in the aftercare of successfully resuscitated patients.Unexpected cardiac arrests in the ICU are relatively uncommon and they are often preceded by prolonged attempts to resuscitate or support failing organs. If CPR is required, follow BLS/ALS guidelines (...


1994 ◽  
Vol 10 (4) ◽  
pp. 219-221 ◽  
Author(s):  
JAMES S. HUTCHISON ◽  
GARY I. E. JOUBERT ◽  
SANDRA R. WHITEHOUSE ◽  
NIRANJAN KISSOON

1995 ◽  
Vol 21 (1) ◽  
pp. 232-234 ◽  
Author(s):  
G. Ruiz-Irastorza ◽  
C. Garea ◽  
J. J. Alonso ◽  
J. L. Hernandez ◽  
K. Aguirrebengoa ◽  
...  

2008 ◽  
Vol 26 (3) ◽  
pp. 380.e1-380.e3 ◽  
Author(s):  
Jenaro A. Fernández-Valencia ◽  
Sebastian García ◽  
Salvio Prat

2016 ◽  
Vol 44 (12) ◽  
pp. 512-512
Author(s):  
Abdul Hasan Siddiqui ◽  
Amina Saqib ◽  
Tahir Khan ◽  
Ambreen khalil
Keyword(s):  

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Matthew P. Romagano ◽  
Krunal Patel ◽  
Shauna Williams ◽  
Joseph J. Apuzzio

Cardiac tamponade is an uncommon but life-threatening emergency that may occur in pregnant women. There is a plethora of causes, but prompt diagnosis and intervention is imperative to optimize both maternal and fetal outcomes. We report on a case of a large pericardial effusion leading to cardiac tamponade occurring in the 32nd week of gestation in a previously healthy woman. Rapid recognition and a multidisciplinary team meeting resulted in a therapeutic pericardial window and drainage and relief of symptoms. The woman underwent an uncomplicated repeat cesarean delivery at term with a positive neonatal outcome. This case highlights the importance of a rapid diagnosis and a team-based approach to managing a complex medical condition like cardiac tamponade in pregnancy.


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