Year : 2011  |  Volume : 5  |  Issue : 4  |  Page : 434-437

Broncho-pleuropericardial fistula complicating staphylococcal sepsis

1 Department of Anesthesia and Critical Care, King Abdulaziz University, Jeddah, Saudi Arabia
2 Department of Critical Care, King Abdulaziz Medical City, Jeddah, Saudi Arabia

Correspondence Address:
Jamal A Alhashemi
Department of Anesthesia & Critical Care, King Abdulaziz University, P. O. Box 31648, Jeddah 21418
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1658-354X.87278

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This is a rare case of broncho-pleuropericardial fistula in a 12-year-old female who presented with fever, painful joint swelling, and pleural and pericardial effusion secondary to disseminated methicillin-sensitive Staphylococcus aureus infection. The pleural and pericardial effusion were drained, however, air leak was observed from both tubes and was synchronous with mechanical inspiration. A broncho-pleuropericardial fistula was suspected and confirmed with computed tomography. This case report demonstrated that disseminated S. aureus bacteremia could result in broncho-pleuropericardial fistula. The ability of disseminated staphylococcal infection to produce pnemopericardium should be added to the list of other complications associated with disseminated staphylococcal sepsis.

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