Evidence map›Paper›PMID 29334903›Full record

ArticleBMC infectious diseases2018

A rare case of pericarditis and pleural empyema secondary to transdiaphragmatic extension of pyogenic liver abscess.

Eunae Cho, Sang Woo Park, Chung Hwan Jun, Sang Soo Shin, Eun Kyu Park, Kyo Seon Lee, Seon Young Park, Chang Hwan Park, Hyun Soo Kim, Sung Kyu Choi and 1 more

Erratum issuedOpen access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 25 citations in OpenAlex.

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  7. GiantBMJ case reports · 2023
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  15. Article
  16. Purulent Pericarditis Caused byCardiology research · 2019
    Article
  17. Hypervirulent Klebsiella pneumoniae.Clinical microbiology reviews · 2019
    Review
  18. Article
  19. Journal of cardiovascular echography
    Article
  20. A Disastrous Omen - Candidal Pyo pneumopericardium.Journal of global infectious diseases
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Eunae ChoDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Sang Woo ParkDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Chung Hwan JunDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea. estevanj@naver.com.ORCID http://orcid.org/0000-0002-7136-8350
Sang Soo ShinDepartment of Radiology, Chonnam National University Hospital, Gwangju, South Korea.
Eun Kyu ParkDepartment of Surgery, Chonnam National University Medical School, Gwangju, South Korea.
Kyo Seon LeeDepartment of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Gwangju, South Korea.
Seon Young ParkDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Chang Hwan ParkDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Hyun Soo KimDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Sung Kyu ChoiDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Jong Sun RewDepartment of Internal Medicine, Chonnam National University Hospital, Gwangju, South Korea.
Chonnam National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransdiaphragmatic extension of pyogenic liver abscess is the rarest cause of pericarditis and pleural empyema. It is a rapidly progressive and highly lethal infection with mortality rates reaching 100% if left untreated. However, the transmission route, treatment methods and prognosis have not been well studied. CASE PRESENTATION: A 65-year-old male patient presented with a fever, dyspnea, and right upper quadrant abdominal pain. Computed tomography of the chest and abdomen showed huge liver abscess without full liquefaction in the left lobe, large amount of left pleural effusion, and mild pericardial effusion, and the patient was treated with parenteral antibiotics and pigtail insertion at the left pleura. However, four days later, cardiac tamponade was developed and surgical drainage of the abscess and pericardium was performed. Klebsiella pneumonia was isolated from pleural empyema. Twenty-five days after surgery, the patient was discharged without any complications.

conclusionsHerein, we report a rare case of pleural empyema and pericarditis in that resulted from the extension of huge pyogenic liver abscess. Early surgical treatment may have prevented progression of the pericarditis to the more dismal purulent pericarditis. We also review pertinent English literature on pericarditis as a complication of PLA.

Indexed as

AgedAnti-Bacterial AgentsCardiac TamponadeDyspneaEmpyema, PleuralHumansLiver Abscess, PyogenicMalePericarditisPleural EffusionTomography, X-Ray ComputedAnti-Bacterial AgentsEmpyemaKlebsiella pneumoniaeLiver abscessPericarditis

Identifiers

PMID29334903
PMCPMC5769516
OpenAlexW2782874228

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Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.