Staphylococcal purulent pericarditis in a malnourished Gambian child: A case report

Onyeama, Charles O.; Okomo, Uduak; Garba, Danlami; Njai, Pamela Collier; Tapgun, Mary; Corrah, Tumani

doi:10.1016/j.ijcard.2006.07.176

Cited by 7 publications

(8 citation statements)

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“…The primitive infection of the pericardium is rare and the purulent pericarditis is most often occurs as a direct extension of infection from an adjacent tissues (pneumonia, pleural, mediastinal or diaphragmatic) [1]. It can result from a penetrating trauma of the pericardium or complicate cardiac surgery and also be of hematogenous origin from a distant infectious focus (otorhinolaryngology especially at the child) [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…It can result from a penetrating trauma of the pericardium or complicate cardiac surgery and also be of hematogenous origin from a distant infectious focus (otorhinolaryngology especially at the child) [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…Streptococcus pneumoniae, Haemophilus influenzae and Neisseria meningitidis are bacteria the most frequently incriminated [1].…”

Section: Discussionmentioning

confidence: 99%

“…The first was reported by Charles O. Onyeama and al, at a child in malnutrition [1], the author connects the pericarditis with a lung infection. The second case is reported by M. Schouten in the patient with a tubercular calcified pericarditis.…”

Section: Discussionmentioning

confidence: 99%

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Primary Purulent Pericarditis due to Staphylococcus Aureus Methicillin-Resistant in HIV Infected Patient: A Case Report and Review of the Literature

Henniche¹

2017

SOJMID

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of Algiers. She presented a clinical signs of tamponnade with altered general state. A cardiac ultrasound was realized and found a pericardial effusion of big abundance. A surgical drainage was practiced and a purulent liquid was obtained and sent to the microbiology laboratory. The microscopic examination after coloring in the methylene blue showed very numerous altered polymorphonuclear neutrophils and bacteria in the form of cocci isolated and grouped in heap. The culture was practiced on simple media and enriched in the blood.After 18 hours of incubation, yellowish colonies had appeared. The identification was made by the classic bacteriological methods: microscopic examination after coloring of Gram, test in the catalase, research for the coagulase and test of agglutination (PASTOREX TM STAPH-PLUS for BIO-RAD), finding a strain of Staphylococcus aureus. The antibiotic susceptibility of the isolate was realized and interpreted according to the recommendations of the Clinical and Laboratory Standards Institute (CLSI) on 2011. We noted a resistance to cefoxitin implying a resistance of oxacillin and all the beta lactam agents. The MIC of the oxacillin was 4 µg/ ml. This strain was also resistant to kanamycin, Erythromycin, Clindamycin and Fusidic acid. The MIC of vancomycin was 1.5 µg / ml and this isolate was considered sensitive according to the standards of the CLSI on 2011.The molecular study by a technique of PCR confirmed the Methicillin-resistance. This strain harboured the gene mec A, the agr type III and produced the leucocidine of Penton -Valentine (PVL). The patient was treated with vancomycin by intravenous way in the dose of 3 gms in the daytime. A clinical improvement was quickly obtained.After five days of hospitalization, the patient presented arthritis of the right elbow and the knee with a fever in 38°C. In the articular draining, a purulent liquid was obtained. The direct examination showed altered polymorphonuclear neutrophils AbstractPurulent pericarditis is rarely primitive. It is commonly the spread from an adjacent focus of infection of neighbourhood, pneumonia or empyema particularly. The hematogenous contamination arises most of the time on state of Immuno suppression which it would be necessary to look for if no risk factor is detectable initially. We report a case of purulent pericarditis due to Community AcquiredStaphylococcus Aureus Methicillin-Resistant (CA -MRSA) at a patient with type 2 diabetes and HIV infection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Streptococcus pneumoniae, Haemophilus influenzae and Neisseria meningitidis are bacteria the most frequently incriminated [1].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Primary Purulent Pericarditis due to Staphylococcus Aureus Methicillin-Resistant in HIV Infected Patient: A Case Report and Review of the Literature

Henniche¹

2017

SOJMID

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“…Perikarditt med gule stafylokokker er beskrevet hos voksne (1) og barn (2) Pasienten vår hadde fått seks dagers antibiotikabehandling ved forverring av tilstanden, og symptomene på kardial gjennombruddsinfeksjon var beskjedne.…”

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