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Rapidly Progressive Immune-Mediated Meningococcal Pericarditis Presenting as Cardiac Tamponade
Christine Robert M Pagotan1, Aryan Meknat2, Anisha Ganesh2
1Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
JACC. Case Reports
|July 16, 2026
Summary
Meningococcemia can cause cardiac tamponade due to pericardial effusion, even as infection improves. Prompt echocardiography and drainage are vital for hemodynamic stability in such cases.
Area of Science:
- Cardiology
- Infectious Diseases
- Critical Care Medicine
Background:
- Pericardial involvement in meningococcemia is rare, often linked to immune complexes.
- Initial small pericardial effusions can rapidly lead to cardiac tamponade.
- Systemic infection markers may improve while pericardial effusion progresses.
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