ArticleJACC. Case reports2026
Purulent Pericarditis Presenting With Abnormal Electrocardiogram Consistent With STEMI.
Article in JACC. Case reports, 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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9 authors.
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Abstract
backgroundPurulent pericarditis is a rare, life-threatening condition accounting for <1% of pericardial disease. CASE SUMMARY: A 57-year-old woman with active intravenous drug use and poorly controlled type 2 diabetes presented with chest pain and inferolateral ST-segment elevations. Emergent coronary angiography revealed nonobstructive coronary artery disease. Subsequent echocardiogram revealed a large pericardial effusion with tamponade physiology. Pericardiocentesis drained 600 mL of purulent fluid positive for methicillin-sensitive Staphylococcus aureus. DISCUSSION: This case illustrates the diagnostic challenge of "pseudo-STEMI" in the setting of purulent pericarditis and underscores the importance of a rigorous diagnostic approach when angiography fails to identify a culprit lesion, necessitating a broader differential to determine the true underlying pathology.
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