Purulent pericarditis by Staphylococcus Panton-Valentine secondary to hair implants

Anmad Shihadeh, Leydimar; Couto Comba, Patricia; Hernández Carballo, Carolina

doi:10.1016/j.medcle.2017.05.004

array:24 ["pii" => "S2387020617303340" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.05.004" "estado" => "S300" "fechaPublicacion" => "2017-06-07" "aid" => "3972" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2017" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Med Clin. 2017;148:525" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775317301446" "issn" => "00257753" "doi" => "10.1016/j.medcli.2017.02.003" "estado" => "S300" "fechaPublicacion" => "2017-06-07" "aid" => "3972" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Med Clin. 2017;148:525" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 20 "formatos" => array:2 [ "HTML" => 16 "PDF" => 4 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "Carta científica" "titulo" => "Pericarditis purulenta por Estafilococo Panton-Valentine secundaria a implantes de cabello" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "525" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Purulent pericarditis by Staphylococcus Panton-Valentine secondary to hair implants" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Leydimar Anmad Shihadeh, Patricia Couto Comba, Carolina Hernández Carballo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Leydimar" "apellidos" => "Anmad Shihadeh" ] 1 => array:2 [ "nombre" => "Patricia" "apellidos" => "Couto Comba" ] 2 => array:2 [ "nombre" => "Carolina" "apellidos" => "Hernández Carballo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020617303340" "doi" => "10.1016/j.medcle.2017.05.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303340?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317301446?idApp=UINPBA00004N" "url" => "/00257753/0000014800000011/v1_201705140041/S0025775317301446/v1_201705140041/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2387020617303327" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.01.022" "estado" => "S300" "fechaPublicacion" => "2017-06-07" "aid" => "3965" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2017;148:526-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "Nutcracker syndrome associated with thin basement membrane nephropathy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "526" "paginaFinal" => "527" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome del cascanueces asociado a la enfermedad de la membrana basal fina" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Marta Cano-Megías, Loreto Fernández-Rodríguez, Patricia Martínez-Miguel" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Marta" "apellidos" => "Cano-Megías" ] 1 => array:2 [ "nombre" => "Loreto" "apellidos" => "Fernández-Rodríguez" ] 2 => array:2 [ "nombre" => "Patricia" "apellidos" => "Martínez-Miguel" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775317301082" "doi" => "10.1016/j.medcli.2017.01.026" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317301082?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303327?idApp=UINPBA00004N" "url" => "/23870206/0000014800000011/v1_201706250038/S2387020617303327/v1_201706250038/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2387020617303352" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.01.023" "estado" => "S300" "fechaPublicacion" => "2017-06-07" "aid" => "3955" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Med Clin. 2017;148:524-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Scientific letter" "titulo" => "Leishmaniasis: Clinical characteristics of 22 cases" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "524" "paginaFinal" => "525" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Leishmaniasis: características clínicas de 22 casos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sergio Santos Alarcón, María Isabel García-Briz, Almudena Mateu-Puchades" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Sergio" "apellidos" => "Santos Alarcón" ] 1 => array:2 [ "nombre" => "María Isabel" "apellidos" => "García-Briz" ] 2 => array:2 [ "nombre" => "Almudena" "apellidos" => "Mateu-Puchades" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775317300891" "doi" => "10.1016/j.medcli.2017.01.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317300891?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303352?idApp=UINPBA00004N" "url" => "/23870206/0000014800000011/v1_201706250038/S2387020617303352/v1_201706250038/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Scientific letter" "titulo" => "Purulent pericarditis by Staphylococcus Panton-Valentine secondary to hair implants" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "525" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Leydimar Anmad Shihadeh, Patricia Couto Comba, Carolina Hernández Carballo" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Leydimar" "apellidos" => "Anmad Shihadeh" "email" => array:2 [ 0 => "leydimar_12@hotmail.com" 1 => "shihadehleydimar@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Patricia" "apellidos" => "Couto Comba" ] 2 => array:2 [ "nombre" => "Carolina" "apellidos" => "Hernández Carballo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cardiología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pericarditis purulenta por Estafilococo Panton-Valentine secundaria a implantes de cabello" ] ] "textoCompleto" => "Purulent pericarditis (PP) is a rare clinical entity, characterized by purulent pericardial effusion (PE) that usually occurs by extension from a contiguous bacterial infectious site or by blood dissemination. The clinical signs and symptoms are very serious and usually progress to cardiac tamponade (CT) or is the first clinical manifestation.<a class="elsevierStyleCrossRef" href="#bib0015">1</a> We report a rare case of PP in the medical literature. On the one hand, we would like to emphasize the importance of a thorough physical examination in this type of entity to recognize where the initial infection site may be, and on the other, that immediate action is paramount and largely determines the prognosis. Clinical suspicion and multidisciplinary approach are essential.A 29-year-old woman with a history of type 2 diabetes mellitus comes to our hospital for chest pain that increases in decubitus position and improves when sitting. Physical examination revealed normal vesicular breath sounds. Cardiac rhythm with no murmur or rubbing, electrocardiogram with diffuse ST segment elevation and echocardiogram<a class="elsevierStyleCrossRef" href="#bib0020">2</a> with PE, without haemodynamic compromise data; diagnosed of acute pericarditis and subsequent treatment with ibuprofen and colchicine. Likewise, data on diabetic ketoacidosis were obtained. The patient denied diarrhoea, respiratory tract or other clinical symptoms, as well as febrile illness.Evidence of metabolic acidosis persisted during her hospital stay, with a pH of up to 7.10 and HCO3− of 5; renal function and oligoanuria worsened; upon re-interviewing the patient, she reported multiple abscesses on the scalp of 2–3 weeks of evolution secondary to hair implants, with outflow of pus following manipulation, so that empiric antibiotic treatment was initiated. In addition, hypoxaemic respiratory failure was observed with respiratory work. A control echocardiogram was performed after 36h, with persistence of effusion, abundant fibrin and with data of increased pulmonary pressure and severe right ventricle dysfunction and mild in the left ventricle. On physical examination: blood pressure 96/43mmHg, heart rate 107bpm in sinus rhythm. SatO2 levels of 89% with face mask, conscious, oriented, with mucocutaneous dehydration and a certain generalized pallor, had 2 abscesses in the scalp (left occipitoparietal and right occipital) with pus and blood suppuration. Normal vesicular breath sounds, with no added sounds, with some thoracoabdominal imbalance. Rhythmic cardiac sounds, no murmurs were heard. The following concentrations stood out in the lab tests: glucose 107mg/dl, urea 100mg/dl, creatinine 2.53mg/dl, sodium 126mmol/l, potassium 4.56mmol/l, AST/ALT 44/39U/l, Hb 9.8G/dl, Hcrt 29.7%, white blood cells 15.590/mm3 (N: 81%, L: 9.2%). Coagulation: CT 11.3, 100% ATP, INR 0.99.Following these findings, the patient was transferred to the Intensive Care Unit, where pericardiocentesis was performed: purulent fluid, blood cultures, secretion cultures. Subsequently, she was prone to arterial hypotension, developing cardiopulmonary arrest (CPA), which led to orotracheal intubation and vasoactive amine initiation. A body CT-scan was performed, highlighting: Large PE with signs of superinfection; right-sided predominance bilateral pleural effusion; diffuse oedema of the subcutaneous cellular tissue and abundant amount of free abdominopelvic fluid with congestive hepatopathy. The results of the cultures were obtained, MRSA linked to Panton-Valentine toxin was isolated in the exudate samples of scalp wound, pericardium, urine and blood. Despite the intensive treatment, the patient remained hemodynamically unstable, with PE data, so a pericardiectomy was performed, in which abundant fibrin content was obtained, covering the pericardial cavity with a yellowish-green colour. PE aspirate was cloudy, leaving a thick layer of fibrin that was released by areas, which could amount to a total volume of about 50–60ml. Following a clinical, haemodynamic and laboratory-parameters improvement, the patient was transferred to Intermediate Care, where, after 48h, developed respiratory and haemodynamic deterioration, with a new CPA. She was intubated and transferred to the Intensive Care Unit, where, despite the intensive measures, died.In the present case, the patient developed bacteraemia secondary to dermal infection, therefore, the pericardium could have been infected through blood, this form of pericardial contamination has already been described. Staphylococcal pericarditis is extremely severe and acute. The diagnosis of certainty was obtained through pericardiocentesis. Finally, it is necessary to emphasize the high mortality associated with this entity, despite the early and intensive treatment it requires." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Anmad Shihadeh L, Couto Comba P, Hernández Carballo C. Pericarditis purulenta por Estafilococo Panton-Valentine secundaria a implantes de cabello. Med Clin (Barc). 2017;148:525." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Purulent pericarditis: a rare diagnosis Portuguese" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Ferreira dos Santos" 1 => "D. Moreira" 2 => "P. Ribeiro" 3 => "B. Rodrigues" 4 => "E. Correia" 5 => "L. Nunes" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.repc.2013.07.003" "Revista" => array:6 [ "tituloSerie" => "Rev Port Cardiol" "fecha" => "2013" "volumen" => "32" "paginaInicial" => "721" "paginaFinal" => "727" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24011667" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Echocardiographically guided pericardiocentesis – the gold standard for the management of pericardial effusion and cardiac tamponade" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K. Salem" 1 => "A. Mulji" 2 => "E. Lonn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Can J Cardiol" "fecha" => "1999" "volumen" => "15" "paginaInicial" => "1251" "paginaFinal" => "1255" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10579740" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014800000011/v1_201706250038/S2387020617303340/v1_201706250038/en/main.assets" "Apartado" => array:4 [ "identificador" => "43311" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Scientific letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014800000011/v1_201706250038/S2387020617303340/v1_201706250038/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303340?idApp=UINPBA00004N"]

ISSN: 2387-0206

Launched in 1943, Medicina Clínica is a fortnightly journal aimed at the promotion of clinical research and practice among internal medicine and other specialists. The key characteristics of Medicina Clínica are the scientific and methodological rigor of its manuscripts, the topicality of its contents, and, especially, its practical focus with highly useful information for clinical practice. Medicina Clínica is predominantly interested in publishing original research manuscripts, which are rigorously selected according to their quality, originality, and interest, and also in continued medical education-oriented manuscripts, which are commissioned by the journal to relevant authors (Editorials, Reviews, and Diagnosis and Treatment). These manuscripts contain updated topics with a major clinical or conceptual relevance in modern medicine. The journal adheres to the standards of academic research publications in all aspects including peer-review and ethical principles. Medicina Clínica is included in the General and Internal Medicine category of Thomson Reuters.

See more Open Access Option

Indexed in:

Current Contents/Clinical Medicine, Journal Citation Reports, SCI-Expanded, Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, MEDES, PASCAL, SCOPUS, SciVerse ScienceDirect

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

2.6

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

3.1

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.371

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.511

View more metrics

Journal Information

Previous article | Next article

Vol. 148. Issue 11.

Pages 525 (June 2017)

Lee este artículo en Español

Export reference

Download PDF

Article

These are the options to access the full texts of the publication Medicina Clínica (English Edition)

Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”

Subscribe to

Medicina Clínica (English Edition)

More information

Purchase

Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now

Contact

Phone for subscriptions and reporting of errors

From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.

Calls from Spain

932 415 960

Calls from outside Spain

+34 932 415 960

E-mail

atencionalcliente@elsevier.com

Publish in

Medicina Clínica

Tools

Free access articles

Associations of physical activity, sedentary time,...

Med Clin. 2024;163:327-35

Burden of COVID-19 variant omicron in immunocompromised...

Med Clin. 2024;163:347-59

Raynaud phenomenon in a baseball...

Med Clin. 2024;163:e79

Medicina Clínica (English Edition) follows the Recommendations for the Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals

Indexed in:

Follow us:

Subscribe:

Article

Subscribe to our newsletter