Severe pneumonia and acute myocardial infarction complicated with pericarditis after percutaneous coronary intervention: A case report

doi:10.12998/wjcc.v10.i10.3222

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World Journal of Clinical Cases

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Case Report

World J Clin Cases. Apr 6, 2022; 10(10): 3222-3231
Published online Apr 6, 2022. doi: 10.12998/wjcc.v10.i10.3222

Severe pneumonia and acute myocardial infarction complicated with pericarditis after percutaneous coronary intervention: A case report

Wei-Chao Liu, Shun-Bao Li, Chen-Feng Zhang, Xiang-Hui Cui

Wei-Chao Liu, Shun-Bao Li, Chen-Feng Zhang, Xiang-Hui Cui, The Third Ward of the Department of Cardiology, Baoding No. 1 Central Hospital, Baoding 071000, Hebei Province, China

Author contributions: Liu WC and Cui XH were the patient’s physicians, reviewed the literature and contributed to manuscript drafting; Zhang CF reviewed the literature and contributed to manuscript drafting; Li SB was responsible for revision of the manuscript; all authors issued final approval for the version to be submitted.

Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Shun-Bao Li, MD, Chief Physician, The Third Ward of the Department of Cardiology, Baoding No. 1 Central Hospital, No. 320 of North Great Wall Street, Baoding 071000, Hebei Province, China. lishunbao.good@163.com

Received: October 3, 2021
Peer-review started: October 3, 2021
First decision: January 11, 2022
Revised: January 25, 2022
Accepted: February 23, 2022
Article in press: February 23, 2022
Published online: April 6, 2022
Processing time: 177 Days and 7.4 Hours

Abstract

BACKGROUND

Cases of severe pneumonia complicated with acute myocardial infarction (AMI) with good prognosis after percutaneous coronary intervention (PCI) are rare, especially those with postoperative pericarditis and intestinal obstruction.

CASE SUMMARY

A 53-year-old male patient was admitted to the emergency department of our hospital because of paroxysmal chest tightness for 4 d, aggravated with chest pain for 12 h. The symptoms, electrocardiography, biochemical parameters, echocardiography and chest computed tomography confirmed the diagnosis of severe pneumonia complicated with AMI. The patient was treated with antiplatelet aggregation, anticoagulation, lipid regulation, vasodilation, anti-infective agents and direct PCI. The patient was discharged after 3 wk of treatment. Follow-up showed that the patient was asymptomatic without recurrence.

CONCLUSION

For patients with severe pneumonia complicated with AMI, PCI and antibiotic therapy is a life-saving strategy.

Keywords: Severe pneumonia; Acute myocardial infarction; Percutaneous coronary intervention; Pericarditis; Intestinal obstruction; Case report

Core Tip: Severe pneumonia complicated with acute myocardial infarction (AMI) is a critical and rare disease in clinic. Patients with good prognosis after emergency percutaneous coronary intervention (PCI) combined with antibiotic treatment have been rarely reported. We here report a case of severe pneumonia and AMI complicated with pericarditis and intestinal obstruction after direct PCI. The patient had a good prognosis after anti-infective and symptomatic treatment.