Open AccessBroncho-pleuropericardial fistula complicating staphylococcal sepsis
Author(s) -
Abeer A. Arab,
Maan Kattan,
Walid Alyafi,
Jamal A. Alhashemi
Publication year - 2011
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.87278
Subject(s) - medicine , sepsis , fistula , pericardial effusion , pleural effusion , effusion , staphylococcus aureus , surgery , empyema , pericardium , radiology , genetics , bacteria , biology
This is a rare case of broncho-pleuropericardial fistula in a 12-year-old female who presented with fever, painful joint swelling, and pleural and pericardial effusion secondary to disseminated methicillin-sensitive Staphylococcus aureus infection. The pleural and pericardial effusion were drained, however, air leak was observed from both tubes and was synchronous with mechanical inspiration. A broncho-pleuropericardial fistula was suspected and confirmed with computed tomography. This case report demonstrated that disseminated S. aureus bacteremia could result in broncho-pleuropericardial fistula. The ability of disseminated staphylococcal infection to produce pnemopericardium should be added to the list of other complications associated with disseminated staphylococcal sepsis.