Candida pericarditis presenting with cardiac tamponade and multiple organ failure after combined damage control thoracotomy and laparotomy with splenectomy in a trauma patient: Case report and review of literature

Authors

R. A. Siller, The University of Texas Rio Grande Valley
Jeffrey Skubic, Doctors Hospital At Renaissance
J. L. Almeda, Doctors Hospital At Renaissance
Adolfo E. Kaplan, The University of Texas Rio Grande Valley

Document Type

Article

Publication Date

12-8-2021

Abstract

Candida pericarditis is a rare condition which has previously been described after cardiothoracic surgery and immunosuppressive states (Geisler et al., 1981; Eng et al., 1981; Kraus et al., 1988; Kaufman et al., 1988; Tang et al., 2009; Glower et al., 1990; Carrel et al., 1991; Rabinovici et al., 1997; Canver et al., 1998; Farjah et al., 2005; Gronemeyer et al., 1982 [1-11]). We describe the case of a 19-year-old male blunt trauma patient, who survived a damage control thoracotomy and laparotomy with splenectomy, who later developed a loculated Candida pericardial effusion, complicated with cardiac tamponade and multiple organ failure, and required antifungals and surgical reintervention with thoracotomy for drainage. A literature search of the reported cases demonstrates that Candida pericarditis is indeed a rare but fatal condition if not identified and treated appropriately. This article discusses the difficulties we encountered while recognizing the disorder in our patient and proposes a guideline to adequately treat the condition in an effective and timely manner. Candida pericarditis poses a special challenge for the physician since its correct diagnosis and management requires a multidisciplinary approach.

Comments

© 2021 The Authors. Published by Elsevier Ltd.

Recommended Citation

Siller, R. A., Skubic, J. J., Almeda, J. L., Villarreal, J. F., & Kaplan, A. E. (2021). Candida pericarditis presenting with cardiac tamponade and multiple organ failure after combined damage control thoracotomy and laparotomy with splenectomy in a trauma patient: Case report and review of literature. Trauma case reports, 37, 100564. https://doi.org/10.1016/j.tcr.2021.100564

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.

Publication Title

Trauma Case Reports

DOI

10.1016/j.tcr.2021.100564

Academic Level

faculty

Mentor/PI Department

Surgery