PDF(Pubmed)
Abstract：
Fungal pericarditis, a rare clinical presentation primarily observed in post-cardiothoracic surgery and immunocompromised patients, requires prompt recognition and effective treatment involving antifungal medications and surgical drainage. We report the case of a 40-year-old female initially diagnosed with infective endocarditis who progressed to cardiac tamponade. Timely surgical drainage significantly improved the patient\'s clinical status and revealed fungal pericarditis through pathological analysis. This case highlights the importance of considering the diagnosis of fungal pericarditis even in the absence of prior cardiothoracic surgical intervention and emphasizes the crucial role of both intravenous antifungal therapy and surgical drainage in its treatment.
摘要：
真菌性心包炎,一种罕见的临床表现，主要在心胸手术后和免疫功能低下的患者中观察到，需要及时识别和有效治疗，涉及抗真菌药物和手术引流。我们报告了一名40岁的女性，最初被诊断为感染性心内膜炎，后来发展为心脏压塞。及时的手术引流明显改善了患者的临床状况,病理分析显示为真菌性心包炎。该病例强调了即使在没有预先进行心胸外科手术的情况下也考虑诊断真菌性心包炎的重要性，并强调了静脉抗真菌治疗和手术引流在其治疗中的关键作用。
