Open AccessStreptococcus anginosus purulent pericarditis with cardiac tamponade after coronary artery bypass surgery
Author(s) -
Qiangjun Cai
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-235862
Subject(s) - medicine , pericardiocentesis , streptococcus anginosus , cardiac tamponade , surgery , pericardial effusion , tamponade , pericarditis , coronary artery bypass surgery , pericardial fluid , cardiac surgery , cardiology , artery , streptococcus , biology , bacteria , genetics
Purulent pericarditis caused by Streptococcus anginosus is extremely rare. A 66-year-old man underwent elective coronary artery bypass surgery. This was complicated by sternal wound dehiscence with drainage. Subsequently, he developed fever, progressive dyspnoea and presyncope. Echocardiography showed a large pericardial effusion with evidence of tamponade. He underwent emergent pericardiocentesis. The pericardial fluid culture grew S. anginosus He was treated with 4 weeks of intravenous ceftriaxone with complete clinical recovery. The source of infection was most likely the sternal wound which was overlooked during debridement and rewiring surgery.