“…[1][2][3][4] A number of case reports in the literature have helped to define the ''typical'' presentation and aetiology. 2,4 Historically, bacterial pericarditis was a disease of children and young adults, existing largely as a secondary infection with pneumonia or after trauma to the mediastinum. At present, bacterial pericarditis is more commonly found in the adult population, 2 although it is still typically a primary infection.…”
Section: Discussionmentioning
confidence: 99%
“…[1][2][3]5 Formerly, the most common infecting organism was Staphylococcus pneumoniae; currently, the most common infecting organism is S. aureus. [1][2][3][4]6 In the past, the mortality rate for bacterial pericarditis was high because of the difficulty with diagnosis and limitations in therapy. [1][2][3][4] Advances in echocardiography have made early diagnosis and treatment possible, but the mortality rate is not zero.…”
Section: Discussionmentioning
confidence: 99%
“…[1][2][3][4]6 In the past, the mortality rate for bacterial pericarditis was high because of the difficulty with diagnosis and limitations in therapy. [1][2][3][4] Advances in echocardiography have made early diagnosis and treatment possible, but the mortality rate is not zero. 1,3 Owing to the high mortality rate, once diagnosed, immediate treatment is imperative.…”
Purulent pericarditis is a rare diagnosis to be made. It is exceedingly rare as a primary infection. We describe the case of an 18-month-old boy who presented with primary purulent pericarditis and developed a secondary endocarditis. Current literature on the subject is reviewed and discussed.
“…[1][2][3][4] A number of case reports in the literature have helped to define the ''typical'' presentation and aetiology. 2,4 Historically, bacterial pericarditis was a disease of children and young adults, existing largely as a secondary infection with pneumonia or after trauma to the mediastinum. At present, bacterial pericarditis is more commonly found in the adult population, 2 although it is still typically a primary infection.…”
Section: Discussionmentioning
confidence: 99%
“…[1][2][3]5 Formerly, the most common infecting organism was Staphylococcus pneumoniae; currently, the most common infecting organism is S. aureus. [1][2][3][4]6 In the past, the mortality rate for bacterial pericarditis was high because of the difficulty with diagnosis and limitations in therapy. [1][2][3][4] Advances in echocardiography have made early diagnosis and treatment possible, but the mortality rate is not zero.…”
Section: Discussionmentioning
confidence: 99%
“…[1][2][3][4]6 In the past, the mortality rate for bacterial pericarditis was high because of the difficulty with diagnosis and limitations in therapy. [1][2][3][4] Advances in echocardiography have made early diagnosis and treatment possible, but the mortality rate is not zero. 1,3 Owing to the high mortality rate, once diagnosed, immediate treatment is imperative.…”
Purulent pericarditis is a rare diagnosis to be made. It is exceedingly rare as a primary infection. We describe the case of an 18-month-old boy who presented with primary purulent pericarditis and developed a secondary endocarditis. Current literature on the subject is reviewed and discussed.
“…A second, additional focus of infection was identified in 90% of S. aureus cases, the most common being pneumonia and osteitis. 12 Anaesthetists are most commonly confronted with children that have a S. aureus infection when they present to the operating room for surgical source control of a primary or metastatic infection. It is important that the child is systematically assessed for the presence of complications in order for these to be managed either pre-or postoperatively.…”
“…Infectious pericarditis, too, has been described as being caused by both facultative bacteria (2,4,6,8,9,12,13) and anaerobic bacteria (10,11). Microaerophilic species have also been found in cases of infectious pericarditis (1,5,7).…”
A pericardial effusion was diagnosed by echocardiography in a 49 year old man who suffered acute cough, orthopnea, and chest pain. Because of a positive tuberculin skin test, mycobacteria were initially suspected as the cause of the pericarditis. The patient was therefore treated with antituberculosis drugs. The pericardial effusion failed to resolve, however, and pericardiectomy was performed. Culture of the pericardial fluid yielded pure Fusobacterium nucleatum growth. The patient responded to antibiotic therapy and was in good health 3 weeks after being discharged from the hospital. This represents the first report of F. nucleatum pericarditis.
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