RESUMO
Severe septicaemia secondary to melioidosis carries a high mortality. Although melioidosis can involve most tissues and organs, pericardial involvement is rare. We report a 40-yearold woman with melioidosis with pericardial involvement but no contiguous pulmonary involvement. She developed acute pericardial tamponade but was successfully treated with surgery and medical therapy. This is the first case in Australia or New Zealand of melioid sepsis presenting with pericarditis and subsequent cardiac tamponade. We review the literature on cardiac involvement in melioidosis.
Assuntos
Burkholderia pseudomallei/isolamento & purificação , Tamponamento Cardíaco/etiologia , Melioidose/microbiologia , Derrame Pericárdico/complicações , Sepse/microbiologia , Adulto , Antibacterianos/uso terapêutico , Tamponamento Cardíaco/diagnóstico , Tamponamento Cardíaco/cirurgia , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Melioidose/diagnóstico , Melioidose/terapia , Derrame Pericárdico/diagnóstico , Derrame Pericárdico/microbiologia , Sepse/diagnóstico , Sepse/terapia , Toracotomia/métodos , Tomografia Computadorizada por Raios XRESUMO
Traumatic atlanto-occipital dislocation carries a significant mortality and morbidity. We present the clinical and radiological features of a case of traumatic skeletal and central nervous system disunion. Thanks to a combination of early resuscitation and luck, the patient survived an improbably severe injury to leave hospital and enjoy a degree of independent life. Such severe injuries are usually fatal and the literature on such extensive cervical disruption is often confined to postmortem evidence.
