Archives of the Turkish Society of Cardiology
A complicated case of possible pan-carditis due to unusual etiology in an immunocompromised patient [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-51931 | DOI: 10.5543/tkda.2018.51931

A complicated case of possible pan-carditis due to unusual etiology in an immunocompromised patient

Flora Özkalaycı1, Mehtap Aydın2, Hakan Altay1, Umut Kocabaş1, Seçkin Pehlivanoğlu1
1Baskent University Istanbul Hospital Medical Research Center Cardiology Department
2Baskent University Istanbul Hospital Medical Research Center Infectious Disease Department

A 77-years-old man with a past medical history of myelodysplastic syndrome (MDS), coronary artery disease, hypertension and chronic atrial fibrillation admitted to haematology outpatient clinic with progressive shortness of breath, weakness, chest and back pain. With these complaints, the patient was referred to cardiology clinic. The patient was put on echocardiography and diagnosed with swere pericardial effusion neighbouring rigt ventricle.Pericardial drainage was performed. Erysipelothrix Rhusiopathiae was isolated from the pericardial fluid. During follow up paient was complicated with respiratory and renal failure. According to the clinical and laboratory findings such as vegetation on tricuspid valve, pericardial effussion and low rate atrial fibrillation the patient was considered as possible pancarditis. And treated with a multidisciplinary approach of cardiology and infectious disease departments.

Keywords: Erysipelothrix Rhusiopathiae, pericarditis, myocarditis, endocarditis, pancarditis

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Corresponding Author: Flora Özkalaycı, Türkiye
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