Metastatic complications of pericarditis and cardiac tamponade as a result of Staphylococcus aureus bacteremia developing during antimicrobial therapy.
Acute bacterial pericarditis is a rare but devastating complication of Staphylococcus aureus bacteremia (SAB). We herein describe the case of a previously healthy 81-year-old woman with SAB complicated by pericarditis that evolved into cardiac tamponade despite the administration of optimal antimicrobial therapy for 11 days. Three adhesion factor genes, fnbA, clfA and clfB, were identified in the causative isolate.
Department of Emergency Medicine, National Cheng Kung University, College of Medicine and Hospital, Taiwan.
Hsin-I
HI
Shih
Chi-Jung
CJ
Wu
Chia-Yu
CY
Chi
Hsin-Chun
HC
Lee
Tsai-Ling
TL
Yang Lauderdale
Yu-Tzu
YT
Lin
Chia-Chun
CC
Lin
Nan-Yao
NY
Lee
Chia-Ming
CM
Chang
Wen-Chien
WC
Ko
D018829:Adhesins, Bacterial / Q000235:genetics; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D002305:Cardiac Tamponade / Q000209:etiology*; D005260:Female; D005798:Genes, Bacterial; D006801:Humans; D010493:Pericarditis / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D013211:Staphylococcus aureus / Q000235:genetics / Q000302:isolation & purification / Q000472:pathogenicity
D018829:Adhesins, Bacterial; D000900:Anti-Bacterial Agents