Staphylococcal Pericarditis Causing Pericardial Tamponade and Concurrent Empyema.
Divya Samantha KondapiDanny MarkabawiAndrew ChuHarvir Singh GambhirPublished in: Case reports in infectious diseases (2019)
Bacterial pericarditis is a rare presentation and is usually due to secondary infection from a hematogenous cause or can occur secondary to trauma, intrathoracic surgery, or due to spread of infection from a contiguous focus via ligaments that anchor the pericardium to its surrounding structures. Its course is fulminant characterized by a high mortality rate from sepsis, tamponade, and constriction. We describe a rare case of Staphylococcus aureus pericarditis with concurrent unilateral empyema. The patient rapidly developed tamponade and was successfully treated with antibiotics and urgent percutaneous pericardial drainage with placement of a temporary catheter. Treatment for bacterial pericarditis typically is 4-6 weeks long. Thoracic surgery should be consulted as soon as possible to determine need for surgical intervention, as fibrin deposition may occur, making percutaneous drainage incomplete and leading to complications of persistent purulent pericarditis or constrictive pericarditis.
Keyphrases
- ultrasound guided
- staphylococcus aureus
- minimally invasive
- rare case
- randomized controlled trial
- case report
- thoracic surgery
- risk factors
- cardiovascular disease
- type diabetes
- neuropathic pain
- escherichia coli
- radiation therapy
- high resolution
- locally advanced
- methicillin resistant staphylococcus aureus
- cardiovascular events
- mass spectrometry
- spinal cord
- coronary artery bypass
- radiofrequency ablation
- atrial fibrillation
- rectal cancer
- hepatitis b virus
- trauma patients