Purulent Pericarditis and Abscessed Myocardium with Acute Myocardial Infarction

Wright, Nathan R.; Pfahl, Kyle; Bush, Charles A.

doi:10.1016/j.amjmed.2015.10.011

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…There is a report of myocardial abscess associated with acute myocardial infarction, followed by purulent pericarditis. 3 However, the presence of a myocardial abscess was not evident in the intraoperative findings.…”

Section: Discussionmentioning

confidence: 84%

“…The detection of MSSA suggested the possibility of bacteremia from the skin puncture related to the catheterization and the spread of infection into the pericardial sac. There is a report of myocardial abscess associated with acute myocardial infarction, followed by purulent pericarditis 3 . However, the presence of a myocardial abscess was not evident in the intraoperative findings.…”

Section: Discussionmentioning

confidence: 94%

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Acute myocardial infarction complicated by purulent pericarditis: A case report

Tamura

Abe

2023

Clinical Case Reports

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 94%

Acute myocardial infarction complicated by purulent pericarditis: A case report

Tamura

Abe

2023

Clinical Case Reports

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“…Localized staphylococcal pericardial abscess is an extremely rare and highly mortal complication of Staphylococcus aureus bacteremia with only a few reported cases in English-language medical literature [ 2 , 5 ]. pericardial infections can result from hematogenous spread, direct extension from pneumonia, empyema, chest trauma, or postoperative mediastinitis [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Pericardial abscess is considered as an extremely rare complication of bacteremia and delayed diagnosis can be very serious [ 1 ]. Risk factors include diabetes mellitus, other active infection (eg, endocarditis or pneumonia), immunosuppression, and having a preexisting pericardial effusion [ 2 ]. PA occurs in patients with immunosuppression as secondary complication, although since the advent of antibiotic therapy, the incidence of PA has decreased [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Localized massive staphylococcal pericardial abscess with atypical presentation

Hussein

Uçaroğlu

Dirie

et al. 2022

Annals of Medicine &Amp; Surgery

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Purulent pericarditis caused by methicillin-sensitive Staphylococcus aureus bacteriuria

Mascarenhas,

Agakishiev,

Freeman

et al. 2024

BMC Cardiovasc Disord

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Background Purulent pericarditis (PP)— a purulent infection involving the pericardial space—requires a high index of suspicion for diagnosis as it often lacks characteristic signs of pericarditis and carries a mortality rate as high as 40% even with treatment. Common risk factors include immunosuppression, diabetes mellitus, thoracic surgery, malignancy, and uremia. Most reported cases of PP occur in individuals with predisposing risk factors, such as immunosuppression, and result from more commonly observed preceding infections, such as pneumonia, osteomyelitis, and meningitis. We report a case of PP due to asymptomatic bacteriuria in a previously immunocompetent individual on a short course of high-dose steroids. Case presentation An 81-year-old male presented for severe epigastric pain that worsened with inspiration. He had been on high-dose prednisone for presumed inflammatory hip pain. History was notable for urinary retention requiring intermittent self-catheterization and asymptomatic bacteriuria and urinary tract infections due to methicillin-sensitive Staphylococcus aureus (MSSA). During the index admission he was found to have a moderate pericardial effusion. Pericardial fluid cultures grew MSSA that had an identical antibiogram to that of the urine cultures. A diagnosis of purulent pericarditis was made. Conclusion PP requires a high index of suspicion, especially in hosts with atypical risk factors. This is the second case of PP occurring as a result of asymptomatic MSSA bacteriuria. Through reporting this case we hope to highlight the importance of early recognition of PP and the clinical implications of asymptomatic MSSA bacteriuria in the setting of urinary instrumentation and steroid use.

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Purulent Pericarditis and Abscessed Myocardium with Acute Myocardial Infarction

Cited by 5 publications

References 3 publications

Acute myocardial infarction complicated by purulent pericarditis: A case report

Acute myocardial infarction complicated by purulent pericarditis: A case report

Localized massive staphylococcal pericardial abscess with atypical presentation

Purulent pericarditis caused by methicillin-sensitive Staphylococcus aureus bacteriuria

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