Muay Thai Almost Drowned My Heart - A Case Report.

IF 1.4 4区 医学 Q3 SPORT SCIENCES Current sports medicine reports Pub Date : 2025-03-01 DOI:10.1249/JSR.0000000000001234
Cătălin Pestrea, Rebecca Pântea, Ecaterina Cicala, Radu Brânzea, Elena Bobescu
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Abstract

Abstract: Rib fractures are frequently encountered in contact sports, with pyopneumothorax as a potentially severe complication. However, it is infrequent for pleural empyema to progress to purulent pericarditis and cardiac tamponade. In this report, we present a successful case of a 41-year-old previously healthy Muay Thai fighter who developed purulent pericarditis with cardiac tamponade due to the contiguous spread of infection from an empyemic hydropneumothorax caused by traumatic rib fracture. Emergency pericardial and pleural drainage were performed, and despite negative cultures from both pericardial and pleural fluid, empiric broad-spectrum antibiotic therapy demonstrated significant efficacy. This case highlights the importance of early recognition and treatment of infrequent but potentially lethal complications of rib fractures associated with contact sports.

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泰拳几乎淹没了我的心——一个案例报告。
摘要:肋骨骨折是在接触性运动中经常遇到的,气胸是一个潜在的严重并发症。然而,它是罕见的胸膜脓肿发展为化脓性心包炎和心脏填塞。在本报告中,我们报告了一例41岁的健康泰拳运动员,由于外伤性肋骨骨折引起的脓毒性气胸感染的连续扩散,导致化脓性心包炎合并心包填塞。紧急心包和胸膜引流,尽管心包和胸膜液培养均为阴性,经验性广谱抗生素治疗显示出显著的疗效。本病例强调了早期识别和治疗与接触性运动相关的肋骨骨折不常见但可能致命的并发症的重要性。
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来源期刊
CiteScore
3.00
自引率
5.60%
发文量
150
审稿时长
>12 weeks
期刊介绍: As an official clinical journal of the American College of Sports Medicine (ACSM), Current Sports Medicine Reports is unique in its focus entirely on the clinical aspects of sports medicine. This peer-reviewed journal harnesses the tremendous scientific and clinical resources of ACSM to develop articles reviewing recent and important advances in the field that have clinical relevance. The journal’s goal is to translate the latest research and advances in the field into information physicians can use in caring for their patients. To accomplish this goal, the journal divides the broad field of sports medicine into 12 sections, each headed by a physician editor with extensive practical experience in that area. The current sections include: Head, Neck, and Spine - General Medical Conditions - Chest and Abdominal Conditions - Environmental Conditions - Sideline and Event Management - Training, Prevention, and Rehabilitation - Exercise is Medicine- Nutrition & Ergogenic Aids - Extremity and Joint Conditions - Sport-specific Illness and Injury - Competitive Sports - Special Populations
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