Giant Purulent Pericarditis with Cardiac Tamponade Due to Streptococcus intermedius Rapidly Progressing to Constriction.
Purulent pericardial effusion, although rare, is a life-threatening condition usually produced by the extension of a nearby bacterial infection locus or by blood dissemination in the immune-suppressed subjects or in the course of cardiothoracic surgery. Because clinical features of purulent pericardial effusion are often nonspecific, it can cause delay in diagnosis. Therefore, a high index of suspicion is required for timely diagnosis and management. Herein, we describe a case of giant purulent pericardial effusion due to Streptococcus intermedius with the history of bronchiectasis and pneumonia, which was successfully treated with pericardiocentesis via parasternal approach, appropriate antibiotics, and pericardiectomy.
Department of Infectious Diseases, School of Medicine, Marmara University, Istanbul, Turkey.
Elif T
ET
Tigen
Department of Cardiology, School of Medicine, Marmara University, Istanbul, Turkey.
Ibrahim
I
Sari
Department of Cardiovascular Surgery, School of Medicine, Marmara University, Istanbul, Turkey.
Koray
K
Ak
Department of Cardiology, School of Medicine, Marmara University, Istanbul, Turkey.
Sena
S
Sert
Department of Cardiology, School of Medicine, Marmara University, Istanbul, Turkey.
Kursat
K
Tigen
Department of Infectious Diseases, School of Medicine, Marmara University, Istanbul, Turkey.
Volkan
V
Korten
D002305:Cardiac Tamponade / Q000000981:diagnostic imaging* / Q000628:therapy; D003937:Diagnosis, Differential; D018450:Disease Progression; D004452:Echocardiography / Q000379:methods; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000000981:diagnostic imaging* / Q000628:therapy; D010494:Pericarditis, Constrictive / Q000000981:diagnostic imaging* / Q000628:therapy; D013290:Streptococcal Infections / Q000000981:diagnostic imaging* / Q000628:therapy; D034367:Streptococcus intermedius; D016896:Treatment Outcome; D055815:Young Adult
Streptococcus intermedius; constrictive pericarditis; giant purulent pericarditis; pericardial effusion; tamponade