Purulent pericarditis in advanced thymoma: A case report

Main Authors: Bakhriansyah, Jordan, Semita, I Gede Parama Gandi, Suryawan, I Gde Rurus, Azmi, Yusuf, Sanjaya, Irfan Deny, Ikawaty, Risma, Nugraha, David, Alkaff, Firas Farisi
Format: Article PeerReviewed application/pdf
Bahasa: eng
Terbitan: Elsevier , 2022
Subjects:
Online Access: http://repository.ubaya.ac.id/42380/
https://www.sciencedirect.com/science/article/pii/S1930043322006471
Daftar Isi:
  • Thymoma is the most common primary anterior mediastinum mass with various clinical manifestations, and one of the manifestations is pericardial effusion. While pericardial ef- fusion in thymoma is usually serous, it can become purulent when an infection occurs in a nearby organ, albeit rare. In this report, we present a rare case of a 27-year-old woman who had purulent pericarditis secondary to an advanced thymoma. The patient came to the emergency department with the chief complaints of worsening chest discomfort, non- productive cough, and fever in the past 2 weeks. The patient was diagnosed with thymoma 5 months prior. Based on the examinations, it was discovered that the patient had pericardi- tis. After the pericardiocentesis was performed and the fluid was examined, the patient was diagnosed with purulent pericarditis secondary to thymoma. The patient was then treated with intravenous antibiotic and pericardial drain. Unfortunately, the patient’s condition de- teriorated, and the patient died on the fifth day of hospitalization. This case highlights an infrequent but potentially life-threatening complication of thymoma. In addition, thymic