1/4. pericarditis and pleuritis caused by extramedullary plasmacytoma.The following illustrates a case study of a 9 years-old girl with combined pericarditis and pleuritis caused by solitary extramedullary plasmacytoma. pericardiocentesis and permanent thoracocentesis were performed, both yielded serohemorrhagic and serous fluid in succession. In the beginning etiological diagnosis was made on the basis of the clinical pattern for tuberculosis infection and growth of three species of bacteria for bacterial infections and candida species for candidiasis. The initial treatment was in accordance with the etiological diagnosis mentioned above. The final diagnosis was establish in the fourth month after the discovery of plasmacytoma in the pleural fluid and CT scan examination disclosing masses in the right lung. Accordingly, cytostatic therapy was started. The result of therapy was very good, exudation into the pleural and pericardial sac regressed gradually and eventually ceased completely. According to the literature the prognosis of these neoplasma is good.- - - - - - - - - - ranking = 1keywords = candida (Clic here for more details about this article) |
2/4. Purulent pericarditis caused by Candida: report of three cases and identification of high-risk populations as an aid to early diagnosis.Purulent pericarditis due to fungal organisms is rare and often unrecognized because of the subtle clinical clues and insidious onset. The records of 11 cases of purulent pericarditis were selected from records of 11,000 cases of pericarditis at Duke University Medical Center and reviewed, and experience with three cases of candida purulent pericarditis (CPP) was evaluated. One case occurred in a patient recovering from complicated cardiac surgery, one in a patient with hematologic malignancy, and one in an alcoholic patient requiring intubation for a severe respiratory infection. Each case is representative of a group at increased risk for the development of CPP. Given the poor prognosis for CPP, treatment should include both medical and surgical interventions. Although amphotericin b achieves good penetration into the inflamed pericardial space, the only survivors of CPP have received both amphotericin b and pericardiectomy. Careful attention to clinical indications of pericardial inflammation and systemic infection in the three groups of patients may lead to earlier recognition of CPP, implementation of appropriate therapy, and perhaps a higher rate of cure.- - - - - - - - - - ranking = 1keywords = candida (Clic here for more details about this article) |
3/4. Candida pericarditis in a patients with leukaemia.Candidal pericarditis is extremely rare. Its clinical diagnosis and successful treatment has not been reported earlier. A case reported of a 30-year-old male with acute lymphoblastic leukaemia complicated with exudative pleuropericarditis, probably initially of leukaemic origin. Following persisting fever cultures of blood and pericardial fluid yielded massive growth of candida albicans. After 3 weeks treatment with intravenous amphotericin b, flucytosine and miconazole, the blood and pericardial fluid was sterilized. A sufficient amphotericin b concentration in the pericardial fluid was obtained without local instillation.- - - - - - - - - - ranking = 1keywords = candida (Clic here for more details about this article) |
4/4. Candida pericarditis in a child.We report a case of candida pericarditis in a 12-year-old boy. This is the fourth pediatric case to be reported and the second to have occurred following cardiac surgery. The pathophysiology, diagnosis, and treatment are discussed.- - - - - - - - - - ranking = 1keywords = candida (Clic here for more details about this article) |