title: Purulent pericarditis as a complication of bacteraemicEnterococcus faecalisurinary tract infection.
abstract: Purulent pericarditis is a rare clinical entity in the modern antibiotic era. The most common portal of entry is thought to be direct extension from a primary lung source and is usually caused byStaphylococcus aureus,Streptococcus pneumoniaeorHaemophilus influenzaeWe report the case of a man aged 69 years who presented with purulent pericarditis due toEnterococcus faecalislikely caused by haematogenous spread from a urinary tract source. Urgent pericardiocentesis was vital and restored his haemodynamic stability. He was treated for a total duration of 4 weeks with susceptible antibiotics. Echocardiography 3 weeks later showed persistent resolution of the pericardial effusion. This case shows that prompt diagnosis and drainage of the pericardial effusion are vital to achieve a positive outcome in purulent pericarditis. To the best of our knowledge, this is the first reported case of purulent pericarditis caused byE. faecalisfrom a urinary tract source.
authors.affiliation: Department of Internal Medicine, Kansas University School of Medicine-Wichita, Wichita, Kansas, USA.
authors.forename: Fredy
authors.identifier: http://orcid.org/0000-0001-6433-178X
authors.initials: F
authors.lastname: Nehme
authors.affiliation: Department of Internal Medicine, Kansas University School of Medicine-Wichita, Wichita, Kansas, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Gitau
authors.affiliation: Department of Pulmonary and Critical Care Medicine, Kansas University School of Medicine-Wichita, Wichita, Kansas, USA.
authors.forename: Jing
authors.initials: J
authors.lastname: Liu
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D013293:Enterococcus faecalis / Q000302:isolation & purification*; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D020519:Pericardiocentesis; D010493:Pericarditis / Q000209:etiology* / Q000628:therapy; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents