Aloqab Faisal, Alsadah Lulwa, Shanei Shanei
Internal Medicine, Bahrain Defence Force Hospital, Riffa, BHR.
Pathology, Arabian Gulf University, Manama, BHR.
Cureus. 2023 Oct 12;15(10):e46930. doi: 10.7759/cureus.46930. eCollection 2023 Oct.
Acute purulent pericarditis is a fatal complication of bacterial pericarditis. Purulent pericarditis usually arises secondary to an infection that spreads directly or hematogenously. The mortality rate reaches 100% in untreated purulent pericarditis. We present a case of complex idiopathic purulent pericarditis caused by Methicillin-sensitive (MSSA). In this report a 39-year-old male presented with shortness of breath, cough and chest pain. He was diagnosed with pericardial effusion with signs of cardiac tamponade. He underwent pericardiocentesis and aspirated pericardial fluid grew He was started on IV antibiotics. However, he had a recollection of pericardial fluid and thus a pericardial window and removal of fibrinous material was done. He was treated with IV antibiotics for a total of seven weeks. High clinical suspicion is needed in diagnosing purulent pericarditis and prompt treatment helps in achieving favorable outcomes for the patient as demonstrated in our case.
急性化脓性心包炎是细菌性心包炎的一种致命并发症。化脓性心包炎通常继发于直接蔓延或血行播散的感染。未经治疗的化脓性心包炎死亡率达100%。我们报告一例由甲氧西林敏感金黄色葡萄球菌（MSSA）引起的复杂性特发性化脓性心包炎病例。本报告中，一名39岁男性出现呼吸急促、咳嗽和胸痛症状。他被诊断为心包积液并有心脏压塞体征。他接受了心包穿刺术，抽出的心包液培养出……（此处原文似乎不完整）他开始静脉使用抗生素治疗。然而，他的心包液再次积聚，因此进行了心包开窗术并清除了纤维蛋白样物质。他总共接受了七周的静脉抗生素治疗。诊断化脓性心包炎需要高度的临床怀疑，及时治疗有助于患者取得良好预后，如我们病例所示。
