ArticleJournal of medical case reports2018
Primary purulent bacterial pericarditis due to Streptococcus intermedius in an immunocompetent adult: a case report.
Article in Journal of medical case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 17 citations in OpenAlex.
- Purulent Pericarditis After Esophageal Erosion With Streptococcus intermedius and Lactobacillus spp.JACC. Case reports · 2026Article
- Purulent Pericardial Effusion: An Elusive Diagnosis.Cureus · 2026Review
- Cell-Free DNA Reveals Hidden Streptococcus anginosus in Cryptogenic Purulent Pericarditis in a Young Adult.The American journal of case reports · 2026Article
- Acute purulent pericarditis secondary to community-acquired streptococcus pneumonia: A case report.World journal of clinical cases · 2025Article
- Primary purulent bacterial pericarditis due toOxford medical case reports · 2025Article
- InvasivePathogens (Basel, Switzerland) · 2024Article
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- Article
- A Rare Case of Primary Purulent Pericarditis Caused byMedicina (Kaunas, Lithuania) · 2023Article
- Great Toe Infection Leading to Methicillin-Sensitive Staphylococcus aureus Pericarditis and Tamponade.Cureus · 2022Article
- Chronic purulent pericarditis: case report.The Pan African medical journal · 2022Article
- The Clinical View onFrontiers in microbiology · 2022Review
- Purulent pericarditis, an unusual cause of cardiac arrest.BMJ case reports · 2021Article
- Article
- Staphylococcal Pericarditis Causing Pericardial Tamponade and Concurrent Empyema.Case reports in infectious diseases · 2019Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute purulent bacterial pericarditis is of rare occurrence in this modern antibiotic era. Primary involvement of the pericardium without evidence of underlying infection elsewhere is even rarer. It is a rapidly progressive infection with high mortality. We present an extremely rare case of acute purulent bacterial pericarditis in an immunocompetent adult patient with no underlying chronic medical conditions. CASE PRESENTATION: A 33-year-old previously healthy white man presented with the complaints of chest pain and dyspnea. He was diagnosed as having acute pericarditis and was discharged home on indomethacin. Over a period of 2 weeks, his symptoms worsened gradually and he was readmitted to our hospital. He was found to have large pericardial effusion with cardiac tamponade. An urgent pericardiocentesis was done with drainage of 550 ml of purulent material. Cultures grew Streptococcus intermedius confirming the diagnosis of acute purulent bacterial pericarditis. No other focus of infection was identified on imaging workup suggesting primary infection of the pericardium. His clinical course was complicated by development of constrictive pericarditis for which he underwent surgical pericardiectomy. He received a total of 7 weeks of intravenously administered antibiotics with complete clinical recovery.
conclusionsAcute purulent bacterial pericarditis, although rare, should always be kept in mind as a possible cause of pericarditis. Early recognition and prompt intervention are important for a successful outcome.
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