Primary Purulent Pericarditis with Cardiac Tamponade due to Oropharyngeal Polymicrobial Infection: A Case Report and Literature Review.
Cardiac tamponade due to purulent pericarditis with a characteristic greenish fluid is rare in this antibiotic era. It is highly fatal despite early diagnosis and advanced treatment. Gram-positive cocci are the leading cause of purulent pericarditis, which usually results from a direct or hematogenous spread of organisms to the pericardium from the primary foci of infection. We describe an index case of rapidly developing pericardial tamponade caused by oropharyngeal polymicrobial infection in the absence of a primary source of infection in a 62-year-old man, who was successfully managed with emergency large-volume pericardiocentesis followed by pericardiectomy.
Department of Internal Medicine, Geisinger Medical Center, USA.
Mukul
M
Bhattarai
Mukul
M
Bhatarai
Department of Cardiology, Geisinger Medical Center, USA.
Gregory
G
Yost
Department of Cardiology, Geisinger Medical Center, USA.
Christopher W
CW
Good
Department of Oncology, Geisinger Medical Center, USA.
Charles F
CF
White
Woodside Family Health Center, USA.
Hitekshya
H
Nepal
Cardiac tamponade; Coinfection; Pericardiectomy; Purulent pericarditis