Faculty of Medicine, Vilnius University, M.K. Čiurlionio g. 21, 03101 Vilnius, Lithuania.
Department of Cardiology, Center of Cardiology and Angiology, Vilnius University Hospital Santaros Clinics, Santariškių g. 2, 08661 Vilnius, Lithuania.
Medicina (Kaunas). 2023 Jan 13;59(1):159. doi: 10.3390/medicina59010159.
: Bacteria-caused acute pericarditis is a very rare entity. It is usually associated with an underlying infection or compromised immune system. Primary purulent pericarditis in a previously healthy individual is highly unexpected; therefore, it is likely to have a delayed diagnosis and poor outcomes. : We report a case of an adult immunocompetent patient with primary bacterial pericarditis caused by a member of the commensal oral flora The patient presented with septic shock and cardiac tamponade, and was further complicated with constrictive pericarditis, which was successfully treated with pericardiectomy. : Bacterial pericarditis is a fulminant disease with a high mortality and complication rate. Fast recognition and prompt therapy are required to achieve a full recovery.
细菌引起的急性心包炎是一种非常罕见的疾病。它通常与潜在的感染或免疫系统受损有关。在一个原本健康的个体中发生原发性化脓性心包炎是极不寻常的；因此，很可能会导致诊断延迟和预后不良。我们报告了一例免疫功能正常的成人患者，其由共生口腔菌群引起的原发性细菌性心包炎。该患者表现为感染性休克和心脏压塞，并进一步并发缩窄性心包炎，经心包切除术成功治疗。细菌性心包炎是一种暴发性疾病，死亡率和并发症发生率都很高。需要快速识别和及时治疗，以实现完全康复。
