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Great Toe Infection Leading to Methicillin-Sensitive Staphylococcus aureus Pericarditis and Tamponade

Devin C Weber1,2, Rana Wajahat3,1

  • 1Infectious Diseases, University Hospitals Portage Medical Center, Ravenna, USA.

Cureus
|January 30, 2023
PubMed

Insights

Bacterial pericarditis, though rare, can lead to severe outcomes like cardiac tamponade. This case highlights successful treatment of methicillin-sensitive Staphylococcus aureus pericarditis with antibiotics and pericardiocentesis.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Bacterial pericarditis is an infrequent condition with significant mortality.
  • It can arise from contiguous spread, hematogenous seeding, or trauma.
  • Complications include cardiac tamponade, sepsis, and heart failure.

Observation:

  • A rare case of methicillin-sensitive Staphylococcus aureus (MSSA) pericarditis occurred post-great toe amputation.
  • The patient presented with cardiac tamponade, necessitating urgent percutaneous pericardiocentesis.
  • A temporary drain was placed during the procedure.

Findings:

  • The patient received successful treatment with intravenous antibiotics.
  • No further invasive procedures, such as surgical pericardiotomy, were required.
  • This indicates a potentially less invasive management approach for selected cases.

Implications:

  • This case underscores the importance of considering bacterial pericarditis in patients with relevant risk factors.
  • It demonstrates the efficacy of percutaneous drainage and antibiotic therapy in managing MSSA pericarditis.
  • Early recognition and intervention can prevent severe complications and reduce the need for surgery.
Keywords:
bacterial pericarditiscardiac tamponademssa pericarditispericardial effusionpericardiocentesispurulent pericarditisseptic shocktoe amputation

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