Purulent Pericarditis: Is It Really a Disease of the Past?

  • Laura Costa Unidade de Cuidados Intensivos Polivalente, Hospital de Braga, Braga, Portugal
  • Diana Carvalho Serviço de Cardiologia, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Elisabete Coelho Unidade de Cuidados Intensivos Polivalente, Hospital de Braga, Braga, Portugal
  • Dina Leal Unidade de Cuidados Intensivos Polivalente, Hospital de Braga, Braga, Portugal
  • Luís Lencastre Unidade de Cuidados Intensivos Polivalente, Hospital de Braga, Braga, Portugal

Keywords

Bacterial pericarditis, secondary pericarditis, acute mediastinitis, pericardiocentesis

Abstract

The authors present a case of purulent pericarditis probably secondary to respiratory infection, a rare entity in the antibiotic era. Pericardial fluid analysis identified streptococci and oral anaerobes as the causative agents. A prolonged and complicated diagnostic and therapeutic course, which included a long stay in the intensive care unit, is described, and a review of purulent pericarditis provided. Pericardial effusion, particularly in the setting of concomitant respiratory infection and immunocompromise or other risk factors, should raise the suspicion of bacterial pericarditis and prompt its timely diagnosis and treatment. Purulent pericarditis can be lethal and has potentially severe complications, so adequate antimicrobial therapy and source control are key.

 

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References

  • Ferreira dos Santos L, Moreira D, Ribeiro P, Rodrigues B, Correia E, Nunes L, et al. Purulent pericarditis: a rare diagnosis. Rev Port Cardiol 2013;32(9):721–727.
  • Sagristà-Sauleda J, Barrabés JA, Permanyer-Miralda G, Soler-Soler J. Purulent pericarditis: review of a 20-year experience in a general hospital. J Am Coll Cardiol 1993;22(6):1661–1665. doi: 10.1016/0735-1097(93)90592-O
  • Pankuweit S, Risti? AD, Seferovi? PM, Maisch B. Bacterial pericarditis: diagnosis and management. Am J Cardiovasc Drugs 2005;5(2):103–112. doi: 10.2165/00129784-200505020-00004
  • Sagristà-Sauleda J, Mercé J, Permanyer-Miralda G, Soler-Soler J. Clinical clues to the causes of large pericardial effusions. Am J Med 2000;109(2):95–101. doi: 10.1016/s0002-9343(00)00459-9
  • Kabbani SS, LeWinter MM. Pericardial diseases. Curr Treat Options Cardiovasc Med 2002;4(6):487–495. doi: 10.1007/s11936-002-0042-0
  • Published: 2021-07-14

    Issue: 2021: Vol 8 No 7 (view)

    Section: Articles

    How to cite:
    1.
    Costa L, Carvalho D, Coelho E, Leal D, Lencastre L. Purulent Pericarditis: Is It Really a Disease of the Past?. EJCRIM 2021;8 doi:10.12890/2021_002658.

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