1/27. Pseudoaneurysm of the left ventricle after isolated pericarditis and staphylococcus aureus septicemia.Left ventricular pseudoaneurysm after isolated pericarditis as a result of Staphylococcal septicemia is very rare. A case of a very young patient is described. diagnosis is made by echocardiography. Immediate surgical resection of the pseudoaneurysm is the therapy of choice.- - - - - - - - - - ranking = 1keywords = aureus (Clic here for more details about this article) |
2/27. staphylococcus aureus pericarditis masquerading as anterior mediastinal mass: mediastinal mass from pericarditis.Pseudomediastinal mass as a result of bacterial pericarditis is a rare clinical presentation. We report one such case in a patient with end-stage renal disease receiving hemodialysis, who presented primarily with manifestations of right heart compression due to a large encapsulated pericardial abscess and, surprisingly, with no overt signs of sepsis. Surgical drainage, pericardiectomy, and antibiotic therapy led to a successful outcome.- - - - - - - - - - ranking = 1keywords = aureus (Clic here for more details about this article) |
3/27. Cardiac rupture caused by staphylococcus aureus septicaemia and pericarditis: an incidental finding.A 35 year old woman with a long history of intravenous drug abuse presented to a local hospital with severe anaemia, fever, raised markers of inflammation, and positive blood cultures for staphylococcus aureus. She responded to treatment with antibiotics with improvement in her symptoms and markers of inflammation. Four weeks later a "routine" echocardiogram showed a rupture of her left ventricular apex and a large pseudoaneurysm. There had been no deterioration in her symptoms or haemodynamic status to herald this new development. It was successfully repaired surgically and the patient made a good recovery.- - - - - - - - - - ranking = 1.25keywords = aureus (Clic here for more details about this article) |
4/27. Pseudomonas pericarditis in an immunocompetent newborn: unusual presentation with review of the literature.Acute purulent pericarditis is a rare entity in the neonatal age group. The most common isolated organisms are staphylococcus aureus, haemophilus influenzae, and streptococcus pneumoniae. Other organisms, like pseudomonas aeruginosa, have been seldom implicated with only one case of Pseudomonas pericarditis reported in the neonatal period. The prognosis is often considered very poor in this age group. This article describes Pseudomonas pericarditis in a 1-week-old immunocompetent female newborn who was successfully managed with combined medical and surgical therapy.- - - - - - - - - - ranking = 0.25keywords = aureus (Clic here for more details about this article) |
5/27. Massive purulent pericarditis and cardiac tamponade caused by staphylococcus aureus urosepsis. Case report.We experienced a case of purulent pericarditis and cardiac tamponade in a patient who presented with acute respiratory failure and urosepsis and ultimately died of overwhelming septic shock. pericardiocentesis yielded 1400 cc of pus; cultures grew only staphylococcus aureus with sensitivities identical to the staphylococcus aureus cultured from the patient's urine. Purulent pericarditis is rare and its association only with urosepsis has not been previously reported. The case is discussed and the literature reviewed.- - - - - - - - - - ranking = 1.5keywords = aureus (Clic here for more details about this article) |
6/27. Staphylococcal pericarditis in a chronic renal failure patient.A 34-year-old female with end-stage renal disease was admitted for severe metabolic acidosis, uremic encephalopathy, pericarditis and severe anemia following a bout of acute gastroenteritis. She improved on aggressive medical management including intensive hemodialysis and was initiated onto maintenance heparin-free hemodialysis (twelve hours per week) and discharged. After a week, she presented with fever with chills and rigors for three days, was toxic, severely orthopenic and had a pulsus paradoxus of 36 mmHg. echocardiography suggested cardiac tamponade. Aspiration revealed frank pus with polymorphonuclear predominance and staphylococcus aureus on culture. CT of the thorax revealed pericardial effusion. In the absence of any obvious septic foci, concomitant pleuro-pulmonary sepsis, mediastinal or intra-abdominal pathology; a diagnosis of "acute primary purulent pericarditis" was made. Patient was put on parenteral antibiotics-ceftriaxone and metrogyl. vancomycin was added after sensitivity results. Pericardial drainage was required initially. After toxemia improved, paradox decreased and fever subsided, the pericardial catheter was removed and antibiotics continued for a period of four weeks. maintenance hemodialysis was continued during hospital stay and after discharge.- - - - - - - - - - ranking = 0.25keywords = aureus (Clic here for more details about this article) |
7/27. Purulent pericarditis induced by endobronchial needle injection of adenoviral-mediated gene therapy.A case of a 65-year-old man who presented with cardiac tamponade and was diagnosed with staphylococcus aureus purulent pericarditis is reported. The patient had recently undergone bronchoscopic endobronchial needle injection of gene therapy for recurrent lung cancer. It was felt that incidental, direct inoculation of contaminated contents into the pericardium, versus mediastinal seeding with direct extension, had occurred. Following pericardiocentesis and antibiotic therapy, the patient fully recovered. The present case is the first reported incidence of purulent pericarditis induced by bronchoscopic injection of gene therapy.- - - - - - - - - - ranking = 0.25keywords = aureus (Clic here for more details about this article) |
8/27. Pericardial infusion of tissue plasminogen activator in fibropurulent pericarditis.A 61-year-old man developed a loculated fibropurulent pericarditis, a rare complication of bacteremia. This occurred as a complication of a Staphylococcal aureus bacteremia from a head and neck abscess following self-extraction of a tooth. Despite surgical intervention and placement of 2 pericardial drains, a refractory, inadequately drained infected pericardial effusion persisted. Although there is limited experience with thrombolytic therapy to dissolve a fibrin clot in the pericardium, break down loculated adhesions, and facilitate free drainage of infected material, lysis is well described in the management of exudative pleural effusions. After infusion of 30 mg of tissue plasminogen activator in 100 cc normal saline through the pericardial drain of the patient, a large amount of infected serosanginous material subsequently drained during the next 2 days. The patient became afebrile and culture negative, remained hemodynamically stable, and had resolution of his pericarditis and pericardial effusion on electrocardiogram and echocardiogram, respectively.- - - - - - - - - - ranking = 0.25keywords = aureus (Clic here for more details about this article) |
9/27. Primary purulent pericarditis due to group C Streptococcus.In the antibiotic era, purulent pericarditis, an infection associated with high mortality, is uncommon. The causative organism is generally staphylococcus aureus or streptococcus pneumoniae arising from contiguous spread or hematogenous dissemination of an underlying infection elsewhere in the body. The present report describes a previously healthy individual who presented with acute infectious pericarditis with the offending organism identified as Lancefield group C streptococcus equi. After an initial pericardial window was unable to prevent recurrent pericardial effusion, pericardiectomy was performed and the patient slowly recovered from the incident.- - - - - - - - - - ranking = 0.25keywords = aureus (Clic here for more details about this article) |
10/27. A case report of purulent pericarditis with cardiac tamponade: echocardiographic findings.A five year old girl with cardiac tamponade due to purulent pericarditis caused by staphylococcus aureus was treated successfully with a combination therapy of appropriate antibiotics and surgical open drainage. Right atrial collapse was observed during early systole using two-dimensional echocardiography. This case illustrated the usefulness of echocardiography for early detection and treatment of cardiac tamponade in pediatric patients.- - - - - - - - - - ranking = 0.25keywords = aureus (Clic here for more details about this article) |
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