Gonococcal pericarditis with tamponade in a patient with systemic lupus erythematosus.
Pericarditis is one of the most frequent manifestations of systemic lupus erythematosus; however, purulent pericarditis and tamponade are rare. We describe a patient with systemic lupus erythematosus and culture-proven gonococcal arthritis who developed purulent pericarditis with intracellular gram-negative diplococci. Evidence of tamponade was seen on echocardiography. There has not been a reported case of Neisseria gonorrhoeae in pericardial fluid or tissue since the introduction of antibiotics.
Coe
M D
MD
Department of Medicine, Washington Hospital Center, Washington, DC 20010.
Hamer
D H
DH
Levy
C S
CS
Milner
M R
MR
Nam
M H
MH
Barth
W F
WF
D000328:Adult; D002305:Cardiac Tamponade / Q000150:complications* / Q000175:diagnosis; D004452:Echocardiography; D005260:Female; D006069:Gonorrhea; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D010493:Pericarditis / Q000150:complications / Q000382:microbiology*