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Updated: Jul 8, 2026

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation
Published on: September 24, 2021
Purulent pericarditis
1Department of Medicine, Mid-Western Regional Hospital, Limerick, Ireland. kennedyclaire@gmail.com
Background:
Bacterial pericarditis has become a clinical rarity since the onset of antimicrobial therapy, yet remains fatal in a large majority of cases.
Aim:
We present the case of a 57-year-old male, admitted with a short history of pleuritic chest pain and dyspnoea. Investigations led to diagnosis of pyopericardium, most likely secondary to fistulating thoracic malignancy. Despite maximum medical treatment this condition proved fatal.
Conclusion:
This case highlights the still unfortunately poor prognosis of purulent pericarditis in the antibiotic era. Underlying aetiological factors should be searched for and eliminated where possible when a diagnosis of purulent pericarditis is made.
Insights
Bacterial pericarditis, though rare, remains a dangerous condition with a poor prognosis even with antibiotic treatment. Promptly identifying and addressing underlying causes is crucial for improving patient outcomes.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Bacterial pericarditis is a rare but often fatal condition, even in the antibiotic era.
- Antimicrobial therapy has reduced incidence but not mortality rates.
Observation:
- A 57-year-old male presented with pleuritic chest pain and dyspnea.
- Diagnosis revealed pyopericardium, likely due to a fistulating thoracic malignancy.
Findings:
- The patient's condition proved fatal despite maximal medical intervention.
- This case underscores the grim prognosis of purulent pericarditis.
Implications:
- Emphasizes the need for thorough investigation into etiological factors of purulent pericarditis.
- Highlights the importance of addressing underlying causes to improve treatment efficacy and patient survival.
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