Related Experiment Video

Updated: Nov 17, 2025

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
08:25

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling

Published on: April 7, 2015

9.3K

Purulent pericarditis-induced intracardiac perforation and infective endocarditis due to Parvimonas micra: a case

Hiroaki Morinaga1, Ken Kato1, Motoyuki Hisagi2

  • 1Department of Cardiology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.

European Heart Journal. Case Reports
|February 18, 2021
PubMed
Abstract

Insights

Purulent pericarditis caused by Parvimonas micra is rare but serious. Prompt diagnosis and aggressive treatment, including source control, are crucial for patient survival and improved outcomes in acute pericarditis.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Purulent pericarditis is a rare condition with high mortality without treatment.
  • It can lead to severe complications like tissue and organ perforation.
  • Parvimonas micra is an exceptionally rare cause of purulent pericarditis.

Purpose of the Study:

  • To report a rare case of purulent pericarditis caused by Parvimonas micra.
  • To highlight the importance of considering purulent pericarditis in refractory acute pericarditis.
  • To emphasize the necessity of aggressive management for favorable outcomes.

Main Methods:

  • A 70-year-old male presented with chest pain and symptoms of acute pericarditis.
  • Diagnosis was confirmed by pericardiocentesis revealing Parvimonas micra in pericardial fluid and blood.
  • Advanced imaging (CT, TEE) identified a pericardial abscess and right atrial vegetation/perforation.

Main Results:

  • Initial anti-inflammatory treatment failed, necessitating pericardiocentesis.
  • Parvimonas micra was identified as the causative agent.
  • Surgical intervention was required for source control, leading to clinical improvement.

Conclusions:

  • Purulent pericarditis must be suspected in acute pericarditis cases unresponsive to anti-inflammatory drugs.
  • Early and aggressive source control is vital for managing purulent pericarditis.
  • Successful treatment involved antibiotics, pericardiocentesis, and surgical intervention.
Keywords:
Case reportInfective endocarditisIntracardiac perforationParvimonas micraPurulent pericarditis

More Related Videos

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation08:56

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation

Published on: September 24, 2021

2.9K
An Intact Pericardium Ischemic Rodent Model07:15

An Intact Pericardium Ischemic Rodent Model

Published on: September 2, 2021

2.7K

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...
116
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...
170
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...
143
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...
105
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
146
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.
159