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Updated: May 23, 2026

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
Published on: April 7, 2015
[Cardiac tamponade and purulent pericarditis caused by Streptococcus pneumoniae]
Martin Huth Ruwald1, Niels Bruun
1Kardiologisk Afdeling P, Gentofte Hospital, 2900 Hellerup, Denmark. mruwald@hotmail.com
Abstract:
Purulent pericarditis is a rare entity in the modern antibiotic era. Despite advances in treatment and diagnostics, purulent pericarditis remains a life-threatening disease. We present a case with cardiac tamponade due to purulent pericarditis caused by Streptococcus pneumoniae. A 67 year-old woman was admitted with massive pericardial fluid. The patient was treated successfully with drainage and intravenous penicillin. Due to the high mortality of this disease, early diagnosis, aggressive pericardial drainage and appropriate antibiotic therapy are essential.
Insights
Purulent pericarditis, a rare but life-threatening condition, can cause cardiac tamponade. Early diagnosis and treatment, including drainage and antibiotics, are crucial for survival.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Purulent pericarditis is a rare condition, even with modern antibiotics.
- It remains a life-threatening disease with significant mortality.
- Advances in diagnostics and treatment have not eliminated its severity.
Observation:
- A case of cardiac tamponade caused by purulent pericarditis is presented.
- The causative agent was identified as Streptococcus pneumoniae.
- A 67-year-old woman presented with massive pericardial effusion.
Findings:
- The patient received successful treatment through pericardial fluid drainage and intravenous penicillin.
- Prompt diagnosis and intervention were key to the positive outcome.
Implications:
- Early diagnosis of purulent pericarditis is essential.
- Aggressive pericardial drainage is a critical component of management.
- Appropriate antibiotic therapy is vital for improving patient survival rates.
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