“…The favorable response to antibiotic treatment, coupled with the isolation of Citrobacter freundii in the pericardial fluid, makes the diagnosis of purulent pericarditis highly probable. Regarding the etiological agent, it is known to be a gram-negative bacterium of the Enterobacteriaceae family, which is associated with infections in patients with known comorbidities and immunocompromised patients [5], as in this particular case. Furthermore, there is a reported case of cardiac tamponade associated with purulent pericarditis caused by this microorganism, which occurred in a pediatric 10-year-old individual [5].…”