title: Purulent pericardial effusion from community-acquired methicillin-resistant Staphylococcus aureus.
abstract: Although the incidence of purulent pericarditis has decreased significantly in the modern antibiotic era, a high index of clinical suspicion should be maintained to diagnose this life-threatening illness at an early stage. Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is a global pathogen and notorious for its ability to cause infection in otherwise healthy individuals. However, it has been associated with purulent pericarditis only in some sporadic case reports. The authors describe a case of purulent pericardial effusion caused by CA-MRSA infection. To the best of our knowledge, this is only the fourth case of CA-MRSA pericarditis to be reported in English literature.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Wayne State University School of Medicine, Detroit Medical Center, Michigan, USA. narora@med.wayne.edu
authors.forename: Natasha Purai
authors.initials: NP
authors.lastname: Arora
authors.forename: Anupama
authors.initials: A
authors.lastname: Kottam
authors.forename: Nitin
authors.initials: N
authors.lastname: Mahajan
authors.forename: Bhavna
authors.initials: B
authors.lastname: Bhasin
authors.forename: Rajesh
authors.initials: R
authors.lastname: Krishnamoorthi
authors.forename: Maithili
authors.initials: M
authors.lastname: Shenoy
authors.forename: Luis C
authors.initials: LC
authors.lastname: Afonso
mesh_terms: D017714:Community-Acquired Infections / Q000382:microbiology; D005260:Female; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008875:Middle Aged; D010490:Pericardial Effusion / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000382:microbiology*