Bacterial pericarditis by Aeromonas hydrophila as a manifestation of hemodialysis catheter-related bacteremia

Castillo Velarde E.; Huamán Vásquez D. · Revista Colombiana de Nefrologia (2024) · DOI: 10.22265/acnef.11.3.764

Resumen

Introduction: Bacterial pericarditis is unusual, but it must be considered in the spectrum of potential complications in a patient with bacteremia associated with the central venous catheter. Purpose: Approach a rapid recognition and treatment to avoid potentially fatal complications. Case presentation: Female, 50 years old with diagnosis of bacterial pericarditis due to Aeromonas hydrophila in the context of hemodialysis catheter-related bacteremia that required pericardiocentesis. Discussion and conclusion: The review of this case report allow us to recognize the suspected con-dition of bacterial pericarditis related to clinical criteria (chest pain) and imagenological criteria (new pericardial effusion). The focus on pericardiocentesis, highlighting their drainage; specific antibiotic therapy (according to antibiogram) and optimized (sinergized an related to pharmacodinamic).

Instituciones: Universidad Ricardo Palma