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[Purulent pericarditis with pericardial tamponade caused by Streptococcus agalactiae and Salmonella enterica no

Lourdes Arruvito1, Marcos G Ber, José A Martínez Martínez

  • 1Departamento de Medicina Interna, Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, Argentina. lourarruvito@hotmail.com

Medicina
|September 2, 2004
PubMed

Insights

Purulent pericarditis (PP) is a rare, fatal condition. A case report highlights Streptococcus agalactiae and Salmonella enterica non-typhi as unusual causes, emphasizing the need for broader diagnostic considerations in at-risk patients.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Microbiology

Background:

  • Purulent pericarditis (PP) is an uncommon cardiac condition associated with high mortality rates.
  • Historically, Staphylococcus aureus and Streptococcus pneumoniae were the primary causative agents of PP.

Observation:

  • This report details a unique case of a 75-year-old male experiencing septic shock, purulent pericarditis, and cardiac tamponade.
  • The patient presented with a concurrent infection by Streptococcus agalactiae and Salmonella enterica non-typhi, an association not previously documented.

Findings:

  • The likely route of infection was hematogenous spread, potentially linked to an upper gastrointestinal endoscopy procedure.
  • Despite medical intervention, the patient's condition was complicated, leading to death on the 34th hospital day.

Implications:

  • The findings suggest that Streptococcus agalactiae and Salmonella enterica non-typhi should be considered in the differential diagnosis of purulent pericarditis.
  • This is particularly relevant for immunocompromised individuals or those with predisposing factors, broadening the etiological scope for PP.

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