Purulent pericarditis complicating cardiac tamponade in a uremic patient caused by Staphylococcus aureus

Purulent pericarditis is a rare infectious disease with significant mortality, even in the modern antibiotic era. The presenting signs can often be subtle and patients can deteriorate rapidly with cardiac tamponade. We report a previously healthy 16-month-old female who developed purulent pericarditis associated with paronychia and sepsis caused by methicillin-sensitive Staphylococcus aureus. In addition to antibiotic treatment, she required emergent pericardiocentesis for cardiac tamponade, followed by two surgical interventions including full median sternotomy incision and partial pericardiectomy. At 4-month follow-up, she did well with no evidence of constrictive pericarditis on echocardiogram.

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PURULENT PERICARDITIS DUE TO METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS COMPLICATED BY CARDIAC TAMPONADE

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(19)33359-5 ◽

2019 ◽

Vol 73 (9) ◽

pp. 2753

Author(s):

Abdisamad M. Ibrahim ◽

Bishal Bhandari ◽

Shravana Gudivada ◽

Hadi Mahmaljy ◽

Abhishek Kulkarni

Keyword(s):

Staphylococcus Aureus ◽

Cardiac Tamponade ◽

Methicillin Resistant Staphylococcus Aureus ◽

Purulent Pericarditis ◽

Methicillin Resistant

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Actinomyces odontolyticus: Rare Etiology for Purulent Pericarditis

Case Reports in Medicine ◽

10.1155/2014/734925 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Ryan Mack ◽

Kipp Slicker ◽

Shekhar Ghamande ◽

Salim R. Surani

Keyword(s):

Staphylococcus Aureus ◽

Pericardial Effusion ◽

Periodontal Disease ◽

Cardiac Tamponade ◽

Fatal Case ◽

Purulent Pericarditis ◽

Streptococcus Pneumonia ◽

Common Causes ◽

Pericardial Involvement

Purulent pericarditis is one of the most common causes of cardiac tamponade and if left untreated has a mortality of 100%.Staphylococcus aureusandStreptococcus pneumoniahave been implicated as the main etiology of purulent pericardial effusion followed by fungi and anaerobic sources.Actinomyces odontolyticuspericardial involvement has been reported in the literature only once. To our knowledge, this is the first fatal case ofA. odontolyticuspurulent pericarditis in the absence of periodontal disease.

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THE STRENGTH OF CLINICAL JUDGEMENT; DISCERNING CARDIAC TAMPONADE IN A CASE OF PURULENT PERICARDITIS

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(21)03723-2 ◽

2021 ◽

Vol 77 (18) ◽

pp. 2368

Author(s):

Jesse Calestine ◽

Steven Jacobs ◽

Gregory Yost

Keyword(s):

Cardiac Tamponade ◽

Clinical Judgement ◽

Purulent Pericarditis

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PURULENT PERICARDITIS IN INFANCY

PEDIATRICS ◽

10.1542/peds.40.2.224 ◽

1967 ◽

Vol 40 (2) ◽

pp. 224-232

Author(s):

Welton M. Gersony ◽

George H. McCracken

Keyword(s):

Staphylococcus Aureus ◽

Antimicrobial Therapy ◽

Primary Infection ◽

Pulmonary Infection ◽

Purulent Pericarditis ◽

Pericardial Drainage ◽

Overall Mortality

Seven patients less than 2 years of age with purulent pericarditis were encountered. Four infants survived, including the first infant reported with meningococcal pericarditis. Including the present patients, 50 infants with suppurative pericarditis have been described in the literature. The overall mortality was 67%; it was 47% among patients in whom the diagnosis was made clinically. Staphylococcus aureus was the most common infecting organism, and it was responsible for the greatest number of deaths. Pulmonary infection was by far the most frequently observed associated illness, whereas purulent pericarditis occurring as a primary infection was rare. Survival from purulent pericarditis depends upon adequate pericardial drainage with antimicrobial therapy. Antibiotics alone have not been successful in the treatment of this disease.

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