PURULENT PERICARDIAL EFFUSION SECONDARY TO DIABETIC FOOT CAUSED BY KLEBSIELLA PNEUMONIAE: A RARE CASE REPORT
Amit Kumar*, Paramjot Kaur, Megha Chauhan, Satish Kumar, Himanshu Dhiman and Balbir Singh Verma
ABSTRACT
A 42-year-old man with a history of diabetes mellitus with diabetic foot from 5 days presented at our emergency room with chest pain and dyspnea. A chest X-ray revealed a pericardial effusion which was confirmed by echocardiography. Debridement of foot & pericardiocentesis was performed; strains of Klebsiella pneumoniae were detected on culture of the pus and pericardial aspirate. Therefore, purulent pericarditis was diagnosed secondary to haematogenous spread from foot abscess. Patient was treated with broad spectrum antibiotics and regular pericardial aspiration was done by pigtail. We report an extremely rare case of purulent pericarditis caused by a haematogenous spread of Klebsiella pneumoniae with primary focus being diabetic foot.
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