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

2021 ◽  
Vol 77 (18) ◽  
pp. 2368
Author(s):  
Jesse Calestine ◽  
Steven Jacobs ◽  
Gregory Yost
2018 ◽  
Vol 11 (4) ◽  
pp. NP125-NP128
Author(s):  
Neha Bansal ◽  
Henry L. Walters ◽  
Daisuke Kobayashi

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.


CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A804-A805
Author(s):  
Alexandra Wichmann ◽  
David Sotello Aviles ◽  
Menfil Orellana-Barrios ◽  
Wasawat Vutthikraivit ◽  
Victor Test

2019 ◽  
Vol 12 (7) ◽  
pp. e229634
Author(s):  
Hafez Mohammad Ammar Abdullah ◽  
Uzma Ikhtiar Khan ◽  
Chetan Wasekar ◽  
Muhammad Omar

Pericardial effusions resulting in a cardiac tamponade have previously been reported with oesophageal cancers. However, most of these cases have been reported in association with radiation and chemotherapy. Rarely as oesophageal pericardial fistuls (OPF) have been reported as the culprits in causing pericardial effusions in patients with oesophageal cancers. Here we present the case of a 61-year-old woman who presented clinically with cardiac tamponade. She was found to have an OPF due to oesophageal squamous cell cancer that resulted in a purulent pericardial effusion. She underwent a median sternotomy, pericardial decompression, and mediastinal debridement. An oesophageal stent was attempted unsuccessfully. The patient refused any more aggressive treatments and was discharged to a hospice where she passed away 13 days after presentation. This case and the associated literature review highlights an unusual presentation of oesophageal cancer and an uncommon cause of cardiac tamponade.


2012 ◽  
Vol 5 (1) ◽  
pp. e61-e64 ◽  
Author(s):  
Pierrick Cronier ◽  
Baptiste Eugène ◽  
Stéphanie Passefort ◽  
Raymond Gryman

1983 ◽  
Vol 76 (6) ◽  
pp. 812-813
Author(s):  
HENRY S. JENNINGS ◽  
JEFFREY B. ESKIND ◽  
ALICE M. SAVAGE ◽  
WILLIAM E. HARSTON

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