Open AccessA case report of pyopneumopericardium following bungee jumping in a patient with tuberculosis
Author(s) -
Yong Zheng Guo,
Xiao Feng Li,
Qiong Ling Bao,
Qun Song,
Hai Yu,
Ming Zhu,
Jun Su,
Biao Zhu,
Kai Xu,
Lan Juan Li
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000019894
Subject(s) - medicine , surgery , thoracentesis , jumping , tuberculosis , odynophagia , stridor , pericardiocentesis , pleural effusion , pericardial effusion , airway , dysphagia , physiology , pathology
Rationale: Pyopneumopericardium related to bungee jumping is a rare occurrence in the current antibiotic era. We present a case of esophagus-seeded Streptococcus sanguinis pyopneumopericardium in a young man with tuberculosis who had just completed bungee jumping. Patient concern: A 27-year-old man was hospitalized with a 1-day history of fever, chest tightness, and intermittent sharp chest pain after bungee jumping for the first time. Diagnoses: Clinical examinations, thoracentesis, and pericardiocentesis revealed pyopneumopericardium, pyopneumomediastinum, and suppurative pleurisy secondary to bungee-jumping-related traumas. Pericardial fluid cultures were positive for S sanguinis , and Mycobacterium tuberculosis complex genetic test was positive in both sputum and pleural effusion. Interventions: The patient improved with drainage and comprehensive antimicrobial therapy. Outcomes: The patient developed constrictive pericarditis and underwent pericardiectomy after 6 months of anti-tuberculosis treatment. During the 6-month follow-up after surgery, he recovered uneventfully. Lessons: This case adds to the long list of bungee-jumping complications. Early diagnosis to initiate appropriate therapy is critical for pyopneumopericardium patients to achieve good outcomes.