title: Staphylococcus aureus pericardial abscess presenting as a localized bulge of the heart contour.
abstract: Purulent pericarditis usually presents as an acute illness with diffuse involvement of the whole pericardium, but can rarely present as a localized effusion. Here, we present a patient with a pericardial abscess caused by Staphylococcus aureus. After surgical drainage of the abscess, the patient made a good recovery. To the best of our knowledge, this is the first case of a pericardial abscess presenting as a localized bulge of the heart contour on the chest X-ray.
authors.affiliation: Department of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands. n.w.c.j.vandedonk@umcutrecht.nl
authors.forename: Niels W C J
authors.initials: NW
authors.lastname: van de Donk
authors.forename: Ronald C A
authors.initials: RC
authors.lastname: Meijer
authors.forename: Yves G C J
authors.initials: YG
authors.lastname: America
authors.forename: Maarten J
authors.initials: MJ
authors.lastname: Cramer
mesh_terms: D000038:Abscess / Q000209:etiology / Q000382:microbiology / Q000628:therapy*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D016470:Bacteremia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010493:Pericarditis / Q000209:etiology / Q000382:microbiology / Q000628:therapy*; D013902:Radiography, Thoracic; D018570:Risk Assessment; D012720:Severity of Illness Index; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents