Laney W*, Buga E and Omar S
Chris Hani Baragwanath Hospital (ICU), University of Witwatersrand, South AfricaFulltext PDF
Background: This case report highlights the initial ambiguous presentation of a patient with acute purulent pericarditis. The etiological agent was streptococcus pneumonia, a rare cause in the age of pneumococcal vaccination. Case Presentation: An elderly gentleman presented with non-specific chest pain. He was suspected to have had a myocardial infarction, treated as such, but was then found to have pyopericardium. There was rapid progression of the disease which led to cardiac tamponade and obstructive shock. Following emergency drainage, refractory septic shock ensued. Conclusion: The case report highlights key differences and similarities in history, clinical examination and investigations between pericarditis and myocardial infarction. Finally, we conclude with a discussion based on a literature review focused on pyopericardium.
Laney W, Buga E, Omar S. A Case of Acute Streptococcus pneumoniae Pericarditis Leading to Fatal Cardiac Tamponade: A Case Report and Literature Review. Ann Clin Case Rep. 2021; 6: 1965..