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Purulenta pericarditis and Pasteurella multocida: an extremely rare entity.
Raquel Ferreira1, José Martins2, Tiago Adrega1
1Serviço de Cardiologia, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.
Revista Portuguesa De Cardiologia
|April 17, 2018
Summary
Purulent pericarditis, a rare infection of the pericardial sac, can be challenging to diagnose. Early recognition and aggressive treatment of Pasteurella multocida infections are crucial for survival.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Case Reports
Background:
- Purulent pericarditis is a rare condition characterized by infected neutrophilic pericardial effusion.
- Diagnosis can be difficult, particularly after prior antibiotic treatment, often leading to delayed recognition and severe complications.
Observation:
- An 82-year-old woman presented with acute pericarditis following a dog bite.
- Despite initial treatment, she experienced persistent fever, and echocardiography revealed increasing pericardial effusion.
- Blood cultures identified Pasteurella multocida, a common bacterium in domestic animals.
Findings:
- The patient underwent pericardiocentesis and pericardiotomy for drainage of purulent effusion.
- Histological examination confirmed acute pericarditis.
- Pasteurella multocida, originating from the dog bite, was identified as the causative agent.
Implications:
- This case highlights the importance of considering animal-associated pathogens in purulent pericarditis.
- Prompt diagnosis and aggressive management, including surgical drainage and targeted antibiotics, are essential for favorable outcomes.
- Untreated purulent pericarditis carries a high mortality rate.
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