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Pericarditis Purulenta Complicada con Taponamiento Cardíaco, Insuficiencia Multiorgánica y Pericarditis Constrictiva

Rik Rozemeijer¹, Evelyn de Vrey¹, Monica Gianoli²

¹Department of Cardiology, Meander Medical Centre, Amersfoort, the Netherlands.

JACC. Case reports

|February 24, 2026

Resumen

La pericarditis purulenta es una infección grave del pericardio. El diagnóstico rápido y la pericardiectomía quirúrgica son cruciales para la supervivencia en casos complejos que involucran taponamiento cardíaco e insuficiencia multiorgánica.

Área de la Ciencia:

Cardiología
Enfermedades Infecciosas

Sus antecedentes:

La pericarditis purulenta es una afección rara y peligrosa.
Las tasas de mortalidad pueden alcanzar el 40% incluso con un tratamiento antibiótico adecuado.

Objetivo del estudio:

Presentar un caso complejo de pericarditis purulenta.
Destacar el manejo de complicaciones que incluyen taponamiento cardíaco e insuficiencia multiorgánica.

Principales métodos:

Un reporte de caso de un hombre de 44 años con pericarditis purulenta.
El diagnóstico incluyó pericardiocentesis, cultivos de líquido (Streptococcus pneumoniae), imagen multimodal y pericardiectomía quirúrgica.

Principales resultados:

El paciente experimentó un rápido deterioro con taponamiento cardíaco y shock obstructivo.
Las complicaciones incluyeron insuficiencia multiorgánica y posterior pericarditis constrictiva.
El tratamiento exitoso implicó pericardiocentesis repetida y pericardiectomía quirúrgica, con un seguimiento de 1 año sin reingresos.

Conclusiones:

La pericarditis purulenta puede provocar complicaciones graves como taponamiento cardíaco y pericarditis constrictiva.
El diagnóstico rápido, el control de la fuente y la intervención quirúrgica son vitales para la supervivencia del paciente.

Palabras clave:

taponamiento cardíaco reporte de caso pericarditis constrictiva pericardiectomía pericarditis purulenta

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