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Giant Purulent Pericarditis with Cardiac Tamponade Due to S treptococcus intermedius Rapidly Progressing to Constriction
Author(s) -
Tigen Elif T.,
Sari Ibrahim,
Ak Koray,
Sert Sena,
Tigen Kursat,
Korten Volkan
Publication year - 2015
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12919
Subject(s) - medicine , pericardiocentesis , pericardial effusion , pericardiectomy , cardiac tamponade , streptococcus intermedius , pericarditis , surgery , bronchiectasis , effusion , tamponade , lung , streptococcus , biology , bacteria , genetics
Purulent pericardial effusion, although rare, is a life‐threatening condition usually produced by the extension of a nearby bacterial infection locus or by blood dissemination in the immune‐suppressed subjects or in the course of cardiothoracic surgery. Because clinical features of purulent pericardial effusion are often nonspecific, it can cause delay in diagnosis. Therefore, a high index of suspicion is required for timely diagnosis and management. Herein, we describe a case of giant purulent pericardial effusion due to S treptococcus intermedius with the history of bronchiectasis and pneumonia, which was successfully treated with pericardiocentesis via parasternal approach, appropriate antibiotics, and pericardiectomy.