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A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus

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 poo...

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Detalles Bibliográficos
Autores principales: Kapačinskaitė, Medeinė, Gabartaitė, Dovilė, Šatrauskienė, Agnė, Sakaitė, Ieva, Maneikienė, Vytė Valerija, Zorinas, Aleksejus, Janušauskas, Vilius
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9866074/
https://www.ncbi.nlm.nih.gov/pubmed/36676783
http://dx.doi.org/10.3390/medicina59010159
Descripción
Sumario: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.