ArticleCureus2026
An Unexpected Culprit: Nocardia Pericarditis Leading to Cardiac Tamponade in an Immunocompetent Host With Congenital Heart Disease.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We report the case of a woman in her 40s with type II diabetes mellitus and a known ostium secundum atrial septal defect (23 mm, left-to-right shunt) diagnosed one year back. The patient presented with progressive dyspnea on exertion for the last three months, along with low-grade fever and fatigue. Clinical and echocardiographic evaluation revealed massive pericardial effusion with features of cardiac tamponade. Pericardial drainage via a pigtail catheter yielded 650 mL of exudative fluid. Pericardial effusion was negative for fungal culture, malignant cytology, and tubercular workup. Adenosine deaminase was negative, and the effusion was predominantly neutrophilic and exudative in nature. The bacterial culture showed the presence of
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