1/10. Pseudomonal pericarditis complicating cystic fibrosis.patients with advanced cystic fibrosis typically have chronic bacterial infection of the upper and lower respiratory tracts, but rarely develop extrapulmonary sites of infection. We report a case of purulent pericarditis due to pseudomonas aeruginosa in a patient with cystic fibrosis and no other risk factors for pericarditis. This is a previously unreported complication in cystic fibrosis prior to lung transplantation.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
2/10. Purulent pericarditis presenting as acute abdomen in children: abdominal imaging findings.Purulent pericarditis is rapidly fatal if untreated [1,2]. With increased development of bacterial resistance to antibiotics, severe bacterial infections in children are becoming more frequent [3,4]. We report two children with purulent pericarditis who presented in a 1-month period for evaluation of acute abdominal distention and signs of sepsis. In both, one evaluated with computed tomography (CT) and one with ultrasound, abdominal findings included periportal edema, gallbladder wall thickening, and ascites secondary to right heart failure from cardiac tamponade. Radiologists should be aware that children with purulent pericarditis may have a normal heart size on radiographs, present with acute abdominal symptoms, and demonstrate findings of right sided heart failure on abdominal imaging.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
3/10. Primary bacterial pericarditis.Purulent pericarditis is rarely the primary site of bacterial infection. It is usually a complication of an infection originating elsewhere in the body, arising by contiguous spread or haematogenous dissemination.This paper, however, describes a previously healthy young man, who developed a purulent streptococcal pericarditis with no localizable primary focus. Although many possibilities were investigated, the entry site of the pericarditis remains unknown.The incidence of purulent pericarditis has decreased considerably since the antibiotic era. It is typically an acute and potentially lethal disease, necessitating rapid diagnosis and adequate therapy to improve prognosis. Standard treatment combines appropriate antibiotic therapy with surgical drainage. However, the exact timing and type of surgery is still under discussion. Our patient was treated with antibiotics, subxiphoidal tube drainage of the pericardial fluid and intrapericardial thrombolysis. After three weeks, he developed tamponade, requiring partial pericardiectomy. He recovered completely and resumed his normal activities after a two-month hospitalisation.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
4/10. cardiac tamponade secondary to haemophilus pericarditis: a case report.Pyogenic pericarditis is encountered uncommonly in clinical practice. The majority of cases of clinically apparent pericarditis are viral in origin. When bacterial infection of the pericardial space does occur the causative organism is usually staphylococcus or streptococcus species. Isolation of an haemophilus organism from the pericardial space in this condition is distinctly unusual. There are only 10 previously reported cases in the literature of pericarditis secondary to haemophilus influenzae. This report describes the case of a 36-year-old woman who presented with haemophilus empyema and purulent pericarditis progressing to cardiac tamponade. There are isolated reports of successful treatment of pyogenic pericarditis with closed drainage and antibiotics. In the absence of clear evidence demonstrating the efficacy of this approach the authors favour open exploration of the pericardial space.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
5/10. Myopericarditis in a patient with campylobacter enteritis: a case report and literature review.myocarditis sometimes occurs as a complication of bacterial infection, including enteric infections caused by salmonella, shigella and yersinia. Only a few cases of campylobacter-associated myocarditis are known. We describe a 47-y-old patient with myopericarditis in association with campylobacter spp. enteritis, and review similar cases previously described in the English literature.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
6/10. pericarditis and pleuritis caused by extramedullary plasmacytoma.The following illustrates a case study of a 9 years-old girl with combined pericarditis and pleuritis caused by solitary extramedullary plasmacytoma. pericardiocentesis and permanent thoracocentesis were performed, both yielded serohemorrhagic and serous fluid in succession. In the beginning etiological diagnosis was made on the basis of the clinical pattern for tuberculosis infection and growth of three species of bacteria for bacterial infections and candida species for candidiasis. The initial treatment was in accordance with the etiological diagnosis mentioned above. The final diagnosis was establish in the fourth month after the discovery of plasmacytoma in the pleural fluid and CT scan examination disclosing masses in the right lung. Accordingly, cytostatic therapy was started. The result of therapy was very good, exudation into the pleural and pericardial sac regressed gradually and eventually ceased completely. According to the literature the prognosis of these neoplasma is good.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
7/10. Fatal pericarditis due to mycobacterium avium-intracellulare in acquired immunodeficiency syndrome.A 27-year-old white male homosexual with AIDS presented 19 months after the initial diagnosis with persistent fever, marked dyspnea at rest, and severe substernal pain in the chest. A pericardial friction rub was auscultated, and an effusion was demonstrated echocardiographically. pericardiocentesis yielded 220 ml of serosanguinous fluid. Special stains of the fluid for microorganisms were negative. A mycobacterial infection was suspected, and therapy with multiple antimycobacterial agents was initiated. Cultures of the fluid eventually yielded MAI. Despite therapy, cardiac function declined, and the patient died two months after presentation. autopsy confirmed the diagnosis of chronic pericarditis due to MAI. pericarditis due to MAI should be included in the differential diagnosis of cardiac dysfunction in patients with AIDS.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
8/10. Mixed bacterial infection of the pericardium.Polymicrobic bacterial infection of the pericardium was detected in a 59-year-old patient ultimately proven to have esophageal carcinoma. Such infections are becoming more frequent, often combine gram-negative bacilli and anerobes, and may be deceptively mild clinically. Origin from an occult head and neck or gastrointestinal focus rather than from pulmonary (pneumococcal) or distant (staphylococcal) sources distinguishes these infections. Newer diagnostic techniques (computerized tomography and echocardiography) coupled with surgical drainage and appropriate antibiotic therapy may improve the current 67% mortality.- - - - - - - - - - ranking = 5keywords = bacterial infection (Clic here for more details about this article) |
9/10. gallium-67 scintigraphy in an AIDS patients presenting tuberculous pericarditis.The case of a 31-year-old hiv-positive male drug addict, with a history of recurrent intermittent fever is presented. Chest x-ray showed right ilar-node enlargement and moderate venous congestion. A 67Ga-citrate scan of the chest was highly suggestive of Mycobacterial infection. Scans showed right supraclavicular, right costophrenic, hilar node, pericardial and low grade pulmonary tracer uptake. Therapy with streptomycin, ethambutol, isoniazid and pyrazinamide was started. After 8 weeks, a chest roentgenogram was normal and 67Ga-citrate scintigraphy showed only right hilar node tracer uptake. biopsy specimen cultures then confirmed the diagnosis of mycobacterium tuberculosis infection. This case is interesting because of (1) the uncommon pericardial tracer uptake, and (2) because it confirms the usefulness of 67Ga-citrate scan for the early diagnosis of Mycobacterial infection.- - - - - - - - - - ranking = 2keywords = bacterial infection (Clic here for more details about this article) |
10/10. Catheter lavage and drainage of pneumococcal pericarditis.An 88 year old woman with streptococcal pneumonia developed purulent pericarditis and cardiac tamponade despite treatment with antibiotics. Percutaneous pericardial drainage was effected with a 6 French pigtail catheter inserted via the subxyphoid approach. Catheter drainage was continued for 7 days in conjunction with systemic antibiotics. Catheter patency was maintained with antibiotic lavage. Immediate hemodynamic improvement followed the initial pericardial drainage. fever, leukocytosis, and sepsis resolved during the course of therapy. The patient recovered fully from the closed space bacterial infection without additional surgical drainage. There has been no recurrence of streptococcal infection and no echocardiographic evidence of recurrent pericardial effusion after 3 months of follow-up. Indwelling catheter drainage combined with antibiotics may be an effective substitute for surgical drainage in the treatment of streptococcal pericarditis.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
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