期刊
INTERNAL MEDICINE
卷 44, 期 6, 页码 666-670出版社
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.44.666
关键词
immunocompromised state; diabetic ketoacidosis; operation; percutaneous pericardiocentesis
A diabetic patient was admitted to our hospital for infective endocarditis with acute purulent pericarditis and diabetic ketoacidosis. Echocardiography revealed attachment of vegetation to the chordae tendineae in the left ventricle and pericaridial effusion. The vegetation was enlarged and pendulated for a few days despite maximal antimicrobial therapy. Surgical resection was desirable to decrease the risk of embolic complications and cardiovascular collapse. We could not open the heart because of accumulation of purulent pericardial fluid, and right renal infarction was complicated. We believe that the immunocompromised and hypercoagulable state due to diabetes caused these conditions.
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