A Case of Acute Purulent Pericarditis Complicated by Severe Left Ventricular Systolic Dysfunction and Cardiac Tamponade.
- Author:
Su Jin CHOI
1
;
Woo Baek CHUNG
;
Hyun Jin KIM
;
Sun Mie YIM
;
Yun Seok CHOI
;
Chul Soo PARK
;
Man Young LEE
Author Information
1. Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea School of Medicine, Seoul, Korea. peace816@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Pericarditis;
Cardiac tamponade;
Ventricular dysfunction
- MeSH:
Aged, 80 and over;
Anti-Bacterial Agents;
Cardiac Tamponade;
Cardiomegaly;
Drainage;
Dyspnea;
Echocardiography;
Humans;
Male;
Pericardial Effusion;
Pericardiocentesis;
Pericarditis;
Pericarditis, Constrictive;
Shock, Cardiogenic;
Streptococcus pneumoniae;
Thorax;
Ventricular Dysfunction;
Vital Signs
- From:Korean Journal of Medicine
2012;82(2):221-226
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An 85-year-old male visited our hospital because of dyspnea. Chest radiography showed marked cardiomegaly and pneumonic infiltration. Transthoracic echocardiography showed moderate pericardial effusion, which resulted in effusive constrictive pericarditis and severe left ventricular systolic dysfunction. During the hospital course, the patient developed cardiogenic shock and was treated with an inotropic agent and intra-aortic balloon pump. The patient's vital signs were stabilized after pericardiocentesis and drainage. A yellowish purulent pericardial effusion was drained and Streptococcus pneumoniae was isolated. Bacterial purulent pericarditis was not uncommon before the antibiotics era, but it is extremely rare nowadays. Here, we report a case of purulent bacterial pericarditis presenting with severe left ventricular systolic dysfunction and cardiac tamponade.
