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BMJ Case Reports 2018; doi:10.1136/bcr-2018-225081
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Bronchogenic cyst infection presenting as pleuropericarditis

  1. Diego Castanares-Zapatero1
  1. 1 Intensive Care Unit, Université catholique de Louvain—Cliniques universitaires Saint Luc, Brussels, Belgium
  2. 2 Cardiovascular Intensive Care Unit, Université catholique de Louvain—Cliniques universitaires Saint Luc, Brussels, Belgium
  1. Correspondence to Jean-Baptiste Mesland, jean-baptiste.mesland{at}uclouvain.be and Dr Diego Castanares-Zapatero, diego.castanares{at}uclouvain.be
  • Accepted 18 May 2018
  • Published 11 June 2018

Description 

A 17-year-old woman was admitted to the emergency department with a 3-day history of dyspnoea (New York Heart Association Class II) and typical pleuritic pain following a 1-week history of cough and fever. Pneumonia was diagnosed based on a chest X-ray (figure 1A), and amoxicillin–clavulanate treatment was initiated. After 48 hours, the patient developed hypotension and tachycardia. Given hypotension, ongoing fever and rising C reactive protein despite antibiotic treatment, she was referred to the intensive care unit. On admission, an echocardiography was performed. A circumferential pericardial effusion with 14 mm maximum diameter adjacent to the right ventricle was detected, without haemodynamic compromise at the time. Besides, left pleural effusion was evidenced. An ultrasound-guided thoracentesis was conducted. Pleural …

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