{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:02Z","timestamp":1756425782055,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,3,6]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Hepatic abscesses can rarely cause pericardial disease by erosion into the pericardial space and present with haemodynamic instability due cardiac tamponade. While rare, these dramatic presentations are more often due to amoebic abscesses than bacterial abscesses. Importantly, a cause must be found for any cryptogenic hepatic abscess regardless of presentation, as there is a high association with underlying malignancy. We report a previously healthy man in his 30s who presented with cardiac tamponade from perforation of a <jats:italic>Roseomonas mucosa<\/jats:italic> pyogenic hepatic abscess into the pericardium in the absence of bacteremia and biliary disease. One year later, he was found to have diffusely metastatic hepatoid carcinoma.<\/jats:p>","DOI":"10.1136\/bcr-2022-248947","type":"journal-article","created":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T11:25:39Z","timestamp":1647602739000},"page":"e248947","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Cardiac tamponade due to perforation of a <i>Roseomonas mucosa<\/i> pyogenic hepatic abscess as initial presentation of hepatoid carcinoma"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5143-1431","authenticated-orcid":false,"given":"Jeffrey","family":"Spindel","sequence":"first","affiliation":[{"name":"Internal Medicine, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mladen","family":"Grigorov","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly","family":"Baker","sequence":"additional","affiliation":[{"name":"Internal Medicine and Pediatrics, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Marsano","sequence":"additional","affiliation":[{"name":"Gastroenterology, Hepatology, and Nutrition, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,18]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082801102490000_15.3.e248947.1","DOI":"10.1309\/731VVGVCKK351Y4J"},{"key":"2025082801102490000_15.3.e248947.2","doi-asserted-by":"crossref","first-page":"737.e1","DOI":"10.1016\/j.cmi.2016.05.024","article-title":"Skin microbiota is the main reservoir of Roseomonas mucosa, an emerging opportunistic pathogen so far assumed to be environmental","volume":"22","author":"Romano-Bertrand","year":"2016","journal-title":"Clin Microbiol Infect"},{"key":"2025082801102490000_15.3.e248947.3","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/j.jiac.2020.03.007","article-title":"A nosocomial cluster of Roseomonas mucosa bacteremia possibly linked to contaminated hospital environment","volume":"26","author":"Okamoto","year":"2020","journal-title":"J Infect Chemother"},{"key":"2025082801102490000_15.3.e248947.4","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1016\/j.dld.2019.08.016","article-title":"Prevalence of colorectal cancer in cryptogenic pyogenic liver abscess patients. do they need screening colonoscopy? 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