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Related Experiment Videos

Nocardia asteroides purulent pericarditis

P Hornick1, P Harris, P Smith

  • 1Department of Cardiothoracic Surgery, Hammersmith Hospital, London, UK.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|January 1, 1995
PubMed
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A rare case of cardiac tamponade caused by Nocardia asteroides pyopericardium is reported. This highlights the need for surgical exploration in Nocardia infections to manage dense adhesions and pus.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Surgical Pathology

Background:

  • Nocardia asteroides infections can lead to serious complications.
  • Pyopericardium is a rare but life-threatening condition causing cardiac tamponade.

Observation:

  • A 71-year-old woman presented with cardiac tamponade due to pyopericardium.
  • The causative agent was identified as Nocardia asteroides.

Findings:

  • This is the first reported UK case and ninth globally of Nocardia asteroides-induced pyopericardium.
  • Surgical findings included dense adhesions, adherent pericardium, and loculations, despite prior imaging.
  • The volume of pus encountered at surgery was unexpectedly large.

Implications:

Related Experiment Videos

  • Vigilance for pericardial involvement is crucial in patients with Nocardia asteroides infection.
  • Surgical exploration is recommended for suspected pyopericardium due to Nocardia to address adhesions and loculations.
  • This case underscores the importance of considering surgical intervention in complex Nocardia pericardial infections.