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A Rare Case of Primary Purulent Pericarditis Caused by Streptococcus constellatus

Medeinė Kapačinskaitė1, Dovilė Gabartaitė2, Agnė Šatrauskienė1

  • 1Faculty of Medicine, Vilnius University, M.K. Čiurlionio g. 21, 03101 Vilnius, Lithuania.

Medicina (Kaunas, Lithuania)
|January 21, 2023
PubMed

Insights

Primary bacterial pericarditis, though rare in healthy individuals, can cause severe illness. Prompt diagnosis and treatment are crucial for recovery from this serious condition.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Microbiology

Background:

  • Bacterial acute pericarditis is a rare condition, often linked to underlying infections or immune compromise.
  • Primary purulent pericarditis in healthy individuals is exceptionally uncommon, leading to delayed diagnosis and poor prognoses.

Observation:

  • A case of an immunocompetent adult with primary bacterial pericarditis caused by Streptococcus constellatus is presented.
  • The patient experienced septic shock and cardiac tamponade, progressing to constrictive pericarditis.

Findings:

  • Streptococcus constellatus, a common oral bacterium, was identified as the causative agent.
  • The patient underwent successful treatment with pericardiectomy for constrictive pericarditis.

Implications:

  • Bacterial pericarditis is a rapidly progressing disease with significant mortality and complication risks.
  • Early recognition and immediate therapeutic intervention are essential for favorable patient outcomes.
Keywords:
Streptococcus constellatuscardiac tamponadepericardiectomypericardiocentesispericarditis

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