A case of acute bacterial pericarditis in a COVID-19 patient

Endoscopic biliary stent insertion is a well-established procedure that is indispensable in the management of various benign and malignant biliary disorders, and one that helps prevent mortality related to invasive surgical procedures. We report a rare case of the distal migration of a biliary stent outside the abdomen to the pericardium, inducing constrictive pericarditis and septic shock. This case alerts clinicians to be aware of potential adverse events that can lead to unfavorable patient outcomes. Such adverse events can be effectively avoided through early detection and intervention.

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Causes of death in growing-finishing pigs in two technified farms in southern Brazil

Pesquisa Veterinária Brasileira ◽

10.1590/1678-5150-pvb-6708 ◽

2020 ◽

Vol 40 (10) ◽

pp. 758-775

Author(s):

Manoela M. Piva ◽

Claiton I. Schwertz ◽

Ronaldo M. Bianchi ◽

Regina T. Kemper ◽

Luan Cleber Henker ◽

...

Keyword(s):

Infectious Diseases ◽

Influenza A ◽

Pasteurella Multocida ◽

Causes Of Death ◽

Histopathological Examination ◽

Gastric Ulcers ◽

Finishing Pigs ◽

Southern Brazil ◽

Bacterial Pericarditis ◽

Conclusive Diagnosis

ABSTRACT: The aim of this study was to investigate the main causes of death in growing-finishing pigs in southern Brazil. During a one-year period (from 2018 to 2019), two industrial pig herds (18 and 20 thousand pigs each farm) in southern Brazil were monitored along the four seasons of the year (12 days per season on each farm), in order to perform necropsies of all pigs that died in that period. The two farms had an average monthly mortality rate ranging from 0.94 to 3.93% in the evaluated months. At necropsy, tissues were collected, fixed in 10% formalin solution and processed routinely for histopathological examination. When necessary, samples were sent for bacterial culture and PCR to identify etiologic agents. A total of 601 necropsies were performed, with 94.9% of conclusive diagnoses. Infectious diseases corresponded to 64.4% of conclusive diagnosis and non-infectious diseases to 35.6%. The most prevalent causes of death were: pneumonia (33%), gastric ulcers (15.4%), circovirosis (9.9%), systemic bacterial embolism (5.4%), polyserositis (4.4%), dilated cardiomyopathy and torsion of abdominal organs (4.3% each), and bacterial pericarditis (3.4%). Regarding pneumonias (199/601), the main agents identified in these cases were Pasteurella multocida, Influenza A virus and Mycoplasma hyopneumoniae, mainly in associations.

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A Case of Primary Bacterial Pericarditis with Recurrent Cardiac Tamponade

Journal of Nippon Medical School ◽

10.1272/jnms.84.133 ◽

2017 ◽

Vol 84 (3) ◽

pp. 133-138

Author(s):

Takashi Yoshizane ◽

Takeshi Yamamoto ◽

Hiroshi Hayashi ◽

Mitsunobu Kitamura ◽

Hideki Miyachi ◽

...

Keyword(s):

Cardiac Tamponade ◽

Bacterial Pericarditis

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Non-traumatic chest pain: pericarditis

Journal of Paramedic Practice ◽

10.12968/jpar.2020.12.3.cpd1 ◽

2020 ◽

Vol 12 (3) ◽

pp. 1-5

Author(s):

Andrew Mootham

Keyword(s):

Myocardial Infarction ◽

Chest Pain ◽

Treatment Regimen ◽

Emergency Care ◽

Signs And Symptoms ◽

Heart Sounds ◽

Scope Of Practice ◽

Bacterial Pericarditis

Pericarditis is an inflammation of the two layers of pericardium, the thin, sac-like membrane that surrounds the heart. Its causes are thought to be viral, fungal or bacterial. Pericarditis may also present as a result of a myocardial infarction. Its signs and symptoms include chest pain, which may radiate to the arm and jaw and pericardial friction rub (a scratching or creaking sound produced by the layers of the pericardium rubbing over each other) on auscultation of heart sounds. The diagnosis of straightforward pericarditis may be within the scope of practice of the emergency care practitioner. It should be possible for an emergency care practitioner to reach a working diagnosis and to initiate a treatment regimen, which would predominantly consist of providing analgesia to make the patient more comfortable.

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