Kosin Med J.  2023 Jun;38(2):134-137. 10.7180/kmj.22.021.

Disseminated Staphylococcus aureus infection and acute bacterial pericarditis: a case report

Affiliations
  • 1Department of Internal Medicine, Kosin University Gospel Hospital, Busan, Korea
  • 2Division of Cardiology, Department of Internal Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea

Abstract

We experienced a case of disseminated Staphylococcus aureus infection with bacterial pericarditis that progressed to septic shock and multiorgan failure despite pericardiocentesis and surgical removal of the original abscess with intensive antibiotic therapy. We report this case because of the patient’s very rare and remarkable echocardiographic findings and highly turbid pericardial effusion.

Keyword

Bacterial pericarditis; Case reports; Septic shock

Figure

  • Fig. 1. Electrocardiography. The initial electrocardiogram revealed sinus tachycardia and ST elevations at the limb lead and precordial lead.

  • Fig. 2. Echocardiography. An echocardiogram revealed a large amount of pericardial effusion, and the left side (yellow arrow) had high echogenicity resembling significant spontaneous echo contrast.

  • Fig. 3. Pericardial effusion. Very turbid, brown pericardial effusion was drained.


Reference

References

1. Imazio M, Gaita F. Diagnosis and treatment of pericarditis. Heart. 2015; 101:1159–68.
2. Imazio M, Spodick DH, Brucato A, Trinchero R, Adler Y. Controversial issues in the management of pericardial diseases. Circulation. 2010; 121:916–28.
3. Sagrista-Sauleda J, Barrabes JA, Permanyer-Miralda G, Soler-Soler J. Purulent pericarditis: review of a 20-year experience in a general hospital. J Am Coll Cardiol. 1993; 22:1661–5.
4. Imazio M, Brucato A, Derosa FG, Lestuzzi C, Bombana E, Scipione F, et al. Aetiological diagnosis in acute and recurrent pericarditis: when and how. J Cardiovasc Med (Hagerstown). 2009; 10:217–30.
5. Adler Y, Charron P, Imazio M, Badano L, Baron-Esquivias G, Bogaert J, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2015; 36:2921–64.
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