A 34-year-old man presented with dyspnea and uncontrolled fever for 1 week, and hemodynamic collapse (blood pressure 80/50 mm Hg, pulse rate 100 beats per minute, central venous pressure 20 cm H_2O). Chest radiography showed abnormal mediastinal widening (Figure 1(A)). Because of the hemodynamic instability, we performed an emergency pericardiect-omy by sternotomy, with drainage and debridement (Figure 1(B), 1(C)). Cultures of pus obtained intrao-peratively revealed Candida albicans.
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机译:一名34岁的男子出现呼吸困难和不受控的发烧1周,并出现血流动力学衰竭(血压80/50 mm Hg,脉搏率每分钟100次,中心静脉压20 cm H_2O)。胸部X线摄片显示纵隔异常增宽(图1(A))。由于血液动力学不稳定,我们通过胸骨切开术进行了紧急心包切开术,并进行了引流和清创术(图1(B),1(C))。脓腔内获得的脓培养物显示白色念珠菌。
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