Title |
A rare case of primary purulent pericarditis caused by Streptococcus constellatus / |
Authors |
Kapačinskaitė, Medeinė ; Gabartaitė, Dovilė ; Šatrauskienė, Agnė ; Sakaitė, Ieva ; Maneikienė, Vytė Valerija ; Zorinas, Aleksejus ; Janušauskas, Vilius |
DOI |
10.3390/medicina59010159 |
Full Text |
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Is Part of |
Medicina (Lithuania).. Basel : MDPI. 2023, vol. 59, iss. 1, art. no. 159, p. [1-10].. ISSN 1010-660X. eISSN 1648-9144 |
Keywords [eng] |
cardiac tamponade ; pericardiectomy ; pericardiocentesis ; pericarditis ; Streptococcus constellatus |
Abstract [eng] |
Background: Bacteria-caused acute pericarditis is a very rare entity. It is usually associated with an underlying infection or compromised immune system. Primary purulent pericarditis in a previously healthy individual is highly unexpected; therefore, it is likely to have a delayed diagnosis and poor outcomes. Case: We report a case of an adult immunocompetent patient with primary bacterial pericarditis caused by a member of the commensal oral flora Streptococcus constellatus. The patient presented with septic shock and cardiac tamponade, and was further complicated with constrictive pericarditis, which was successfully treated with pericardiectomy. Conclusions: Bacterial pericarditis is a fulminant disease with a high mortality and complication rate. Fast recognition and prompt therapy are required to achieve a full recovery. |
Published |
Basel : MDPI |
Type |
Journal article |
Language |
English |
Publication date |
2023 |
CC license |
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