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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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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
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author Kapačinskaitė, Medeinė
Gabartaitė, Dovilė
Šatrauskienė, Agnė
Sakaitė, Ieva
Maneikienė, Vytė Valerija
Zorinas, Aleksejus
Janušauskas, Vilius
author_facet Kapačinskaitė, Medeinė
Gabartaitė, Dovilė
Šatrauskienė, Agnė
Sakaitė, Ieva
Maneikienė, Vytė Valerija
Zorinas, Aleksejus
Janušauskas, Vilius
author_sort Kapačinskaitė, Medeinė
collection PubMed
description 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.
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spelling pubmed-98660742023-01-22 A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus Kapačinskaitė, Medeinė Gabartaitė, Dovilė Šatrauskienė, Agnė Sakaitė, Ieva Maneikienė, Vytė Valerija Zorinas, Aleksejus Janušauskas, Vilius Medicina (Kaunas) Case Report 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. MDPI 2023-01-13 /pmc/articles/PMC9866074/ /pubmed/36676783 http://dx.doi.org/10.3390/medicina59010159 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Kapačinskaitė, Medeinė
Gabartaitė, Dovilė
Šatrauskienė, Agnė
Sakaitė, Ieva
Maneikienė, Vytė Valerija
Zorinas, Aleksejus
Janušauskas, Vilius
A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus
title A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus
title_full A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus
title_fullStr A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus
title_full_unstemmed A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus
title_short A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus
title_sort rare case of primary purulent pericarditis caused by streptococcus constellatus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9866074/
https://www.ncbi.nlm.nih.gov/pubmed/36676783
http://dx.doi.org/10.3390/medicina59010159
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