Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting
Abstract. Both empyema and type A aortic dissection are life-threatening conditions. The combination, though rare, can cause serious complications and death. There have been rare cases of empyema caused by a co-infection with a Gram-positive bacterium, Granulicatella adiacens, which is difficult to...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health/LWW
2022-06-01
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| Series: | Cardiology Discovery |
| Online Access: | http://journals.lww.com/10.1097/CD9.0000000000000046 |
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| author | Jiawen Huang Chengfeng Huang Zhaoming Lin Huanan Liu Xiaoshen Zhang Tianyu Xu Xiaoxia Fu |
| author_facet | Jiawen Huang Chengfeng Huang Zhaoming Lin Huanan Liu Xiaoshen Zhang Tianyu Xu Xiaoxia Fu |
| author_sort | Jiawen Huang |
| collection | DOAJ |
| description | Abstract. Both empyema and type A aortic dissection are life-threatening conditions. The combination, though rare, can cause serious complications and death. There have been rare cases of empyema caused by a co-infection with a Gram-positive bacterium, Granulicatella adiacens, which is difficult to identify, and a Gram-negative bacterium, Escherichia coli. In this case, a 50-year-old man was referred to the emergency department due to sudden chest pain and a suspected diagnosis of type A aortic dissection. The patient was subsequently found to have co-morbid empyema and a fissure in the esophagus when the cause of the disease was investigated. Considering the possibility that the patient's infection was of digestive origin, a combination of Gram-positive and Gram-negative antibiotics was given immediately. Etiological examination later confirmed the presence of Granulicatella adiacens and Escherichia coli in chest drainage fluid, and the patient was successfully treated with antimicrobial therapy and conservative treatment. |
| format | Article |
| id | doaj-art-a356ffbe67e14b7ea01db7023ada4057 |
| institution | DOAJ |
| issn | 2096-952X 2693-8499 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Cardiology Discovery |
| spelling | doaj-art-a356ffbe67e14b7ea01db7023ada40572025-08-20T03:17:55ZengWolters Kluwer Health/LWWCardiology Discovery2096-952X2693-84992022-06-012212713010.1097/CD9.0000000000000046202206000-00008Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe VomitingJiawen HuangChengfeng HuangZhaoming LinHuanan LiuXiaoshen ZhangTianyu XuXiaoxia FuAbstract. Both empyema and type A aortic dissection are life-threatening conditions. The combination, though rare, can cause serious complications and death. There have been rare cases of empyema caused by a co-infection with a Gram-positive bacterium, Granulicatella adiacens, which is difficult to identify, and a Gram-negative bacterium, Escherichia coli. In this case, a 50-year-old man was referred to the emergency department due to sudden chest pain and a suspected diagnosis of type A aortic dissection. The patient was subsequently found to have co-morbid empyema and a fissure in the esophagus when the cause of the disease was investigated. Considering the possibility that the patient's infection was of digestive origin, a combination of Gram-positive and Gram-negative antibiotics was given immediately. Etiological examination later confirmed the presence of Granulicatella adiacens and Escherichia coli in chest drainage fluid, and the patient was successfully treated with antimicrobial therapy and conservative treatment.http://journals.lww.com/10.1097/CD9.0000000000000046 |
| spellingShingle | Jiawen Huang Chengfeng Huang Zhaoming Lin Huanan Liu Xiaoshen Zhang Tianyu Xu Xiaoxia Fu Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting Cardiology Discovery |
| title | Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting |
| title_full | Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting |
| title_fullStr | Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting |
| title_full_unstemmed | Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting |
| title_short | Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting |
| title_sort | case report of esophageal rupture empyema and aortic dissection potentially caused by severe vomiting |
| url | http://journals.lww.com/10.1097/CD9.0000000000000046 |
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