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Updated: Jul 5, 2026

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
Published on: April 7, 2015
[A complicated case of purulent pericarditis secondary to pneumonia]
Francesco Casella1, Giuseppina Pisano, Ilaria Bossi
1Dipartimento di Scienze Cliniche, Università degli Studi, Divisione di Medicina II, Ospedale Luigi Sacco, Milano. case.5@libero.it
Abstract:
Purulent pericarditis in the antibiotic era has become an uncommon entity. It is typically an acute illness with a high mortality (about 30%) related to cardiac tamponade, a complication that accounts for 42-77% of cases. Few cases of purulent pericarditis associated with tamponade have been published in the literature. In this paper we describe a complicated case of purulent pericarditis secondary to left pneumonia. In particular, we emphasize the importance of early recognition, prompt institution of appropriate antibiotic therapy and early drainage for survival.
Insights
Purulent pericarditis, though rare, is a serious condition often leading to cardiac tamponade. Early diagnosis and treatment, including antibiotics and drainage, are crucial for patient survival.
Area of Science:
- Infectious Diseases
- Cardiology
- Critical Care Medicine
Background:
- Purulent pericarditis is an uncommon but severe infection of the pericardium.
- It carries a high mortality rate, primarily due to cardiac tamponade.
Observation:
- This paper details a complex case of purulent pericarditis originating from left-sided pneumonia.
- Cardiac tamponade was a significant complication in this patient.
Findings:
- Early recognition of purulent pericarditis is vital.
- Prompt administration of antibiotics and timely pericardial drainage significantly improve survival rates.
Implications:
- This case underscores the importance of a multidisciplinary approach in managing purulent pericarditis.
- Aggressive and timely intervention can mitigate the high mortality associated with this condition.
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