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[Pneumococcal purulent pericarditis].

G Geri1, S Dupeux, J Pouchot

  • 1Service de médecine interne, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.

La Revue De Medecine Interne
|January 15, 2008
PubMed
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Purulent pneumococcal pericarditis is a rare but serious infection. Prompt diagnosis and combined treatment of pericardial drainage and antibiotics are crucial for a favorable outcome.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Pulmonology

Background:

  • Purulent pneumococcal pericarditis is exceptionally rare, particularly following the advent of antibiotics.
  • This case highlights a resurgence of this severe infection.

Observation:

  • A 59-year-old woman presented with dyspnea and fever, exhibiting signs of cardiomegaly and pleural effusion.
  • Diagnostic imaging revealed a large pericardial effusion, from which Streptococcus pneumoniae was isolated.
  • Blood cultures also confirmed pneumococcal bacteremia.

Findings:

  • The patient received pericardial drainage and intravenous amoxicillin, leading to a positive clinical outcome.
  • No underlying immunodeficiency was identified as a contributing factor.

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Implications:

  • Despite its rarity, purulent pneumococcal pericarditis requires prompt recognition due to its potential to compromise vital prognosis.
  • Effective management necessitates a combination of pericardial fluid drainage and appropriate antibiotic therapy.