Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Infective Endocarditis and Acute Purulent Pericarditis in a Patient with Hyperglycemia
Kenji OKIWataru MATSUURAYasuhiro SAITOYujiro ONOKaoru YANAGIHARAMasafumi SUESHIROSatoru MORITAJunko KOIDEAkihiro MAEDA
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 6 Pages 666-670

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Abstract

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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© 2005 by The Japanese Society of Internal Medicine
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