title: Spontaneous contrast in the pericardial sac caused by gas-forming organisms.
abstract: Purulent pericarditis is a life-threatening disease associated with a variety of microorganisms. The case presented herein has unusual manifestations of contrast echoes on two-dimensional echocardiography. To our knowledge, this is the first reported case of pericarditis caused by gas-forming group D Streptococcus and Klebsiella pneumoniae with pyopericardium, resulting in contrast echoes on the two-dimensional echocardiographic image.
authors.affiliation: Division of Cardiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
authors.forename: C S
authors.initials: CS
authors.lastname: Ku
authors.forename: M C
authors.initials: MC
authors.lastname: Hsiung
authors.forename: T L
authors.initials: TL
authors.lastname: Hsu
authors.forename: Y A
authors.initials: YA
authors.lastname: Ding
authors.forename: S M
authors.initials: SM
authors.lastname: Shieh
mesh_terms: D004452:Echocardiography; D013293:Enterococcus faecalis / Q000302:isolation & purification / Q000378:metabolism; D005740:Gases; D006801:Humans; D007710:Klebsiella Infections / Q000000981:diagnostic imaging; D007711:Klebsiella pneumoniae / Q000302:isolation & purification / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D010493:Pericarditis / Q000000981:diagnostic imaging* / Q000382:microbiology; D010496:Pericardium / Q000382:microbiology*; D013290:Streptococcal Infections / Q000000981:diagnostic imaging; D013492:Suppuration
chemical_list: D005740:Gases