Staphylococcus aureus pericarditis masquerading as anterior mediastinal mass: mediastinal mass from pericarditis.
Pseudomediastinal mass as a result of bacterial pericarditis is a rare clinical presentation. We report one such case in a patient with end-stage renal disease receiving hemodialysis, who presented primarily with manifestations of right heart compression due to a large encapsulated pericardial abscess and, surprisingly, with no overt signs of sepsis. Surgical drainage, pericardiectomy, and antibiotic therapy led to a successful outcome.
Nwiloh
J O
JO
Morehouse School of Medicine, Atlanta, Georgia 30310, USA.
Egbe
P A
PA
Tagoe
A T
AT
Weaver
L W
LW
D000038:Abscess / Q000175:diagnosis*; D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D003937:Diagnosis, Differential; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis*; D010493:Pericarditis / Q000175:diagnosis*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000628:therapy; D006435:Renal Dialysis; D018805:Sepsis / Q000175:diagnosis / Q000209:etiology; D013203:Staphylococcal Infections / Q000175:diagnosis*; D013211:Staphylococcus aureus