Case Report of Esophageal Rupture, Empyema, and Aortic Dissection Potentially Caused by Severe Vomiting  

作　　者：Jiawen Huang Chengfeng Huang Zhaoming Lin Huanan Liu Xiaoshen Zhang 

机构地区：[1]Department of Pharmacy,First Affiliated Hospital,Jinan University,Guangzhou,Guangdong 510630,China [2]Department of Cardiovascular Surgery,First Affiliated Hospital,Jinan University,Guangzhou,Guangdong 510630,China.

出　　处：《Cardiology Discovery》2022年第2期127-130,共4页心血管病探索（英文）

摘　　要：Both empyema and type A aortic dissection are life-threatening conditions.The combination,though rare,can cause serious complications and death.There have been rare cases of empyema caused by a co-infection with a Gram-positive bacterium,Granulicatella adiacens,which is difficult to identify,and a Gram-negative bacterium,Escherichia coli.In this case,a 50-year-old man was referred to the emergency department due to sudden chest pain and a suspected diagnosis of type A aortic dissection.The patient was subsequently found to have co-morbid empyema and a fissure in the esophagus when the cause of the disease was investigated.Considering the possibility that the patient’s infection was of digestive origin,a combination of Gram-positive and Gram-negative antibiotics was given immediately.Etiological examination later confirmed the presence of Granulicatella adiacens and Escherichia coli in chest drainage fluid,and the patient was successfully treated with antimicrobial therapy and conservative treatment.

关 键 词：Case report EMPYEMA Escherichia coli Granulicatella adiacens Acute aortic dissection 

分 类 号：R57[医药卫生—消化系统]