Compressive Pericardial Teratoma about a Case at Regional Hospital of Saint Louis/Senegal

Beye, Sérigne Mor; Samb, Cheikh Ahmadou Bamba; Ndichout, Aicha; Diop, Ndeye Rokhaya; Diop, K.; Condé, Ansoumana; Mingou, Joseph Salvador; Sy, Jean Baptiste Mathieu; Kane, Adama

doi:10.4236/jbm.2022.106001

Cited by 2 publications

(6 citation statements)

References 9 publications

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“…We report the case of a singular IE due to the rarity of its portal of entry (acute lithiasic cholecystitis), due to the presence of multiple complications (valvular perforation, cerebral abscess, ischemic stroke, septic shock), and finally due to the multiple antibiotic resistances of isolated bacterial strains. In addition to these clinical particularities, our observation reminds us of the existence of four (4) major Public Health issues in Sub-Saharan Africa.…”

Section: Introductionsupporting

confidence: 56%

“…Whether pulmonary, digestive or neurological, the circumstances of the discoveries aroused by infective endocarditis had in common to evolve in a frank febrile context. In our case the fever was 39.8˚C, it was 38.9˚C in the case of acute pulmonary oedema [4], 39˚C in the case of intracranial haemorrhage [5] and 39.5˚C in the case of splenic infarction [6]. This reminds us that a tempera-ture ≥ 38˚C is one of the diagnostic criteria for infective endocarditis [7] [8].…”

Section: Discussionmentioning

confidence: 65%

“…In our present observation, it was a digestive and neurological context. Other circumstances of discovery have been reported such as acute pulmonary oedema [4], intracranial haemorrhage [5] and even splenic infarction [6]. Whether pulmonary, digestive or neurological, the circumstances of the discoveries aroused by infective endocarditis had in common to evolve in a frank febrile context.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the cerebral abscess and the state of septic shock, the patient had further worsened her vital prognosis with the appearance of an atrial fibrillation with ventricular response at 180 beats per minute (Figure 5) and a massive ischemic cerebrovascular accident (Figure 6) at D2 and D4 of hospitalization respectively. Indeed, complications such as arrhythmias are pos- of the germ [7] [10], the antibiotic resistance of the germ, the severity and the refractory nature of the biological infectious syndrome [33], the installation of septic shock [7] [10], the appearance of congestive heart failure [4] [7] [10], localization of the bacterial graft on intracardiac material (valvular prosthesis, pacemaker probe, defibrillator) [33]. Our patient was sedentary with grade 1 obesity, passive smoking, severe anemia, significant biological infectious syndrome and two major neurological complications responsible for aphasia, hemiplegia and coma, bacterial strains that proved to be resistant to the molecules of our probabilistic antibiotic therapy.…”

Section: ) Surgical Treatment Of Infective Endocarditismentioning

confidence: 99%

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Osler’s Subacute Infective Endocarditis on Rheumatic Heart: A Complicated Clinical Case That Reflects Four (4) Major Public Health Issues in Sub-Saharan Africa

Traore¹,

Ngaïdé²,

Tine³

et al. 2022

CRCM

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Endocarditis is an inflammation of the endocardium and its structures (valves), most often of infectious origin, described by William Osler in 1885. In the 21st century, infective endocarditis remains a reality in our countries. We report a complicated case of infective endocarditis (IE). This is a 53-year-old woman, obese and passive smoker who died on the 5 th day of her hospitalization following an infective endocarditis (IE) with bacterial strains resistant to the usual antibiotics: daughter of acute lithiasic cholecystitis, mother of major mitral valve perforation, brain abscess, ischemic stroke and atrial fibrillation. All were responsible for septic shock and fatal coma. Surgical management of the infective endocarditis in the first hours of her admission could have improved her prognosis. To conclude, in addition to its interests and its clinical particularities, our present observation has highlighted major public health problems specific to our sub-Saharan African countries, namely: The problem of the double health burden, the problem of delays in seeking care, the problem of resistance to antibiotics and the problem of the insufficiency of reference health technical platforms.

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Section: Introductionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: ) Surgical Treatment Of Infective Endocarditismentioning

confidence: 99%

See 2 more Smart Citations

Osler’s Subacute Infective Endocarditis on Rheumatic Heart: A Complicated Clinical Case That Reflects Four (4) Major Public Health Issues in Sub-Saharan Africa

Traore¹,

Ngaïdé²,

Tine³

et al. 2022

CRCM

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“…Likewise, the incidence of mature mediastinal teratoma with pericardial effusion is a rare tumor case 2 . CT scan results in several cases found cystic lesions attached to pericardial cysts suggestive of pericardial 11 and pericardial masses suspected of heterogeneous myxoma 12 . Therefore, it is essential to present a case study regarding the findings of recurrent mediastinal teratomas accompanied by pericardial effusion.…”

Section: Introductionmentioning

confidence: 99%

Teratomas Mediastinal Recurrent with Massive Pericardial Effusion

Lestari,

Sultansyah

2023

magnamed

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Background: Mediastinal teratoma is a medical rare disease that refers to the presence of a regrowing teratoma tumor in the mediastinum. At the pulmonary hospital dr. Ario Wirawan Salatiga, only one case was found, where the patient had previously been operated on at another hospital.Objective: The purpose of this paper was to contribute to the radiology literature by presenting a case of recurrent teratoma.Case Presentation: A 19-year-old male patient complained of persistent shortness of breath. The patient previously underwent teratoma surgery. The patient underwent chest X-rays, CT scans, abdominal and cardiac ultrasounds (USG), and as well as biopsies. The results of the CT scan found a teratoma-type mediastinal tumor accompanied by a large amount of pericardial effusion. A hyperechoic lesion with well-defined borders, round-oval, lobulated, and very large in size. Location in the mediastinum that is urgent and involves the left ventricle, right ventricle, left atrium, and right atrium. There is also an aortic compression lesion accompanied by calcification (+). Examination by ultrasonography (USG) of the heart found many pericardial but not found pressing. Heart valve function in patients did not show any abnormalities.Conclusion: Recurrent teratomas with large-volume pericardial effusions are rare. In this case study, a teratoma is located in the mediastinum. In this case, axial, coronal, and sagittal slices of a contrast thoracic CT scan can be used to establish the diagnosis. The results of heart USG found a pericardial effusion, the heart chambers do not collapse in this case of recurrent teratomas, indicating a mature teratoma type.

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Compressive Pericardial Teratoma about a Case at Regional Hospital of Saint Louis/Senegal

Cited by 2 publications

References 9 publications

Osler’s Subacute Infective Endocarditis on Rheumatic Heart: A Complicated Clinical Case That Reflects Four (4) Major Public Health Issues in Sub-Saharan Africa

Osler’s Subacute Infective Endocarditis on Rheumatic Heart: A Complicated Clinical Case That Reflects Four (4) Major Public Health Issues in Sub-Saharan Africa

Teratomas Mediastinal Recurrent with Massive Pericardial Effusion

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