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

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

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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