Rapid evolution of cardiac tamponade due to bacterial pericarditis in two patients with HIV-1 infection.
We describe two HIV-seropositive patients with acute pneumococcal empyema and pericarditis. Cardiac tamponade evolved rapidly in each patient and was reversed with prompt surgical intervention. In each case, immunologic abnormalities were detected which could have facilitated local spread of infection and progression to tamponade. Pericarditis, an otherwise rare manifestation of pneumococcal infection in the antibiotic era, should be anticipated in HIV-seropositive patients with pneumococcal empyema.
Karve
M M
MM
Department of Medicine, Kings County Hospital Center, Brooklyn.
Murali
M R
MR
Shah
H M
HM
Phelps
K R
KR
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000208:Acute Disease; D000328:Adult; D002305:Cardiac Tamponade / Q000150:complications*; D005260:Female; D015497:HIV-1; D006801:Humans; D010490:Pericardial Effusion / Q000150:complications; D010493:Pericarditis / Q000150:complications* / Q000000981:diagnostic imaging; D011008:Pneumococcal Infections / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography