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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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CASE REPORTS  CARDIAC SECTION


The Journal of Cardiovascular Surgery 2002 December;43(6):837-9

lingua: Inglese

Massive purulent pericarditis and cardiac tamponade caused by Staphylococcus aureus urosepsis. Case report

Rosenthal A.

Gen­eral Sur­gery, Met­ro­pol­itan ­Group Hos­pi­tals Res­i­dency in Gen­eral Sur­gery, St. ­Francis Hos­pital Evanston, IL, USA


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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.

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