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Cardiac tamponade caused by polymicrobial gram-negative organisms

Fadi J Sawaya1, Jaber I Sawaya, Walid Gharzuddine

  • 1Department of Internal Medicine, Emory Hospital, Atlanta, Georgia, United States. fsawaya@emory.edu

International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases
|April 28, 2009
PubMed

Insights

This study reports the first case of suppurative pericarditis caused by two specific gram-negative bacteria: Citrobacter diversus and Proteus mirabilis. This rare polymicrobial infection highlights unusual pathogens in pericardial disease.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Microbiology

Background:

  • Pericarditis, inflammation of the pericardium, can be caused by various pathogens.
  • Gram-negative bacterial infections of the pericardium are uncommon.
  • Polymicrobial etiologies are rarely documented in suppurative pericarditis.

Observation:

  • A rare case of suppurative pericarditis was identified.
  • The causative agents were identified as Citrobacter diversus and Proteus mirabilis.
  • This represents the first documented instance of this specific polymicrobial combination.

Findings:

  • Successful identification of Citrobacter diversus and Proteus mirabilis in a patient with suppurative pericarditis.
  • Confirmation of a polymicrobial gram-negative etiology for this rare condition.
  • Detailed microbiological characterization of the identified pathogens.

Implications:

  • Expands the known spectrum of causative agents for gram-negative pericarditis.
  • Highlights the importance of comprehensive microbiological investigation in complex pericardial infections.
  • Informs clinical management strategies for rare polymicrobial pericarditis cases.

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