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Related Experiment Videos

Meningococcal pericarditis and tamponade.

M R P Baselier1, P H J van Keulen, P van Wijngaarden

  • 1Amphia Hospital, Breda, The Netherlands. baselier.mrp@hetnet.nl

The Netherlands Journal of Medicine
|July 17, 2004
PubMed
Summary

Serogroup C meningococcal disease caused pneumonia, sepsis, and DIC in a 37-year-old female. Prompt pericardiocentesis resolved pyogenic pericarditis and cardiac tamponade, leading to recovery.

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Area of Science:

  • Infectious Diseases
  • Cardiology
  • Critical Care Medicine

Background:

  • Meningococcal disease, caused by Neisseria meningitidis, can present with diverse clinical manifestations.
  • Serogroup C strains are a significant cause of invasive meningococcal disease globally.
  • Complex presentations involving multiple organ systems require prompt and multidisciplinary management.

Observation:

  • A 37-year-old female presented with a severe, multi-system illness.
  • Clinical signs included pneumonia, sepsis, and diffuse intravascular coagulation (DIC).
  • The patient developed culture-proven pyogenic pericarditis complicated by cardiac tamponade.

Findings:

  • The patient's complex meningococcal disease involved pulmonary, systemic inflammatory, and cardiac complications.

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  • Pyogenic pericarditis rapidly progressed to cardiac tamponade, a life-threatening condition.
  • Successful management involved immediate pericardiocentesis to relieve cardiac pressure.

    • Implications:

    • This case highlights the potential for severe and varied manifestations of serogroup C meningococcal disease.
    • Early recognition and intervention for cardiac complications like tamponade are crucial for patient survival.
    • Effective management of invasive meningococcal disease requires a comprehensive approach addressing all affected organ systems.