title: Purulent pericarditis with cardiac tamponade caused by anaerobic agents.
abstract: Purulent pericarditis is a rare disease associated with high mortality, even with appropriate antibiotic therapy. The authors report the case of a patient with purulent pericarditis with no identifiable primary source that presented clinically as cardiac tamponade. The patient required emergency pericardiocentesis and surgical pericardiectomy due to persisting signs of tamponade. Microbiology cultures isolated anaerobic agents of Fusobacterium spp., Corynebacterium spp. and Peptostreptococcus. The authors review the etiology and treatment of this entity and its main complication, the development of constrictive pericarditis.
authors.affiliation: Departamento de Cardiologia e Cirurgia Cardíaca, Hospital de la Santa Creu i Sant Pau, Barcelona, Espanha. vmc18461b@hotmail.com
authors.forename: Vicens
authors.initials: V
authors.lastname: Martí
authors.forename: Pedro
authors.initials: P
authors.lastname: Garrido
authors.forename: Filipe
authors.initials: F
authors.lastname: Seixo
authors.forename: Ana
authors.initials: A
authors.lastname: Peset
authors.forename: Antonino
authors.initials: A
authors.lastname: Gineli
mesh_terms: D000328:Adult; D002305:Cardiac Tamponade / Q000382:microbiology*; D003354:Corynebacterium Infections / Q000150:complications*; D005260:Female; D005674:Fusobacterium Infections / Q000150:complications*; D016908:Gram-Positive Bacterial Infections / Q000150:complications*; D006801:Humans; D010462:Peptostreptococcus; D010493:Pericarditis / Q000382:microbiology*; D013492:Suppuration