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Related Concept Videos

Pericarditis I: Introduction01:22

Pericarditis I: Introduction

Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...

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Related Experiment Videos

[Purulent pericarditis: a rare diagnosis].

Luís Ferreira dos Santos1, Davide Moreira, Pedro Ribeiro

  • 1Serviço de Cardiologia, Centro Hospital Tondela-Viseu, Viseu, Portugal.

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|September 10, 2013
PubMed
Summary

Purulent pericarditis, a rare infection secondary to pneumococcus pneumonia, can occur even in healthy individuals. Persistent fever with pericardial effusion warrants consideration for this serious condition.

Keywords:
Bacterial pericarditisDerrame pericárdicoPericardial effusionPericardite bacterianaPericardite purulentaPneumoniaPurulent pericarditisTamponadeTamponamento

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Purulent pericarditis is a rare but severe infection of the pericardium.
  • It is often secondary to bacterial pneumonia, particularly pneumococcus.
  • Its incidence has decreased in the antibiotic era but remains a critical diagnosis.

Observation:

  • Two cases of purulent pericarditis secondary to pneumococcus pneumonia are presented.
  • One case occurred in an apparently healthy individual, highlighting the need for vigilance.
  • A diagnostic approach for moderate pericardial effusion is outlined.

Findings:

  • Purulent pericarditis is an uncommon complication of pneumococcus pneumonia.
  • Persistent fever with pericardial effusion is a key clinical sign.
  • The condition can affect both immunocompromised and seemingly healthy patients.

Implications:

  • Clinicians should consider purulent pericarditis in patients with unexplained persistent fever and pericardial effusion.
  • Early diagnosis and treatment are crucial for favorable outcomes.
  • This rare entity underscores the importance of considering serious infections even in the absence of typical risk factors.