Acute myocardial infarction complicated by purulent pericarditis: A case report

Tamura, Yamato; Abe, Takehisa

doi:10.1002/ccr3.6818

Clinical Case Reports

2023

DOI: 10.1002/ccr3.6818

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Acute myocardial infarction complicated by purulent pericarditis: A case report

Yamato Tamura

Takehisa Abe

Abstract: A man with persistent dyspnea was brought to our hospital in an emergency. Cardiac catheterization revealed right coronary artery occlusion. The patient went into shock on the second day of treatment due to rapid pericardial effusion. The pericardial fluid was cloudy and non‐bloody, which was judged to indicate purulent pericarditis.

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2024

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A case of non-ST elevation MI with revascularization by PCI complicated by bacterial pericarditis

Ariaga,

Zhang,

Brijmohan Bhattad

et al. 2024

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Introduction: Pericarditis, an inflammation of the pericardial sac, can stem from various causes, including idiopathic, viral, and infectious origins. While viral and idiopathic cases are common in developed countries, tuberculosis is a leading cause in developing regions. Purulent bacterial pericarditis usually follows surgery or bacteremia. Post-myocardial infarction (MI) pericarditis occurs in early and late phases, the latter known as Dressler’s syndrome. This case report presents a rare occurrence of purulent bacterial pericarditis after percutaneous coronary intervention (PCI). Case Report: Our case describes a 57-year-old male with coronary artery disease (CAD), hypertension, and a recent upper respiratory tract infection (URTI) who presented with severe left shoulder pain. He was diagnosed with an acute MI and underwent PCI. Post-procedure, he developed increasing leukocytosis, fever, and respiratory distress. Despite initial broad-spectrum antibiotics, his condition necessitated further imaging and eventually pericardiocentesis, which revealed Methicillin-sensitive Staphylococcus aureus (MSSA) infection. Targeted antibiotic therapy led to his clinical improvement. Conclusion: This case highlights the necessity for vigilant differential diagnosis and prompt treatment of rare but serious complications such as bacterial pericarditis following PCI.

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A case of non-ST elevation MI with revascularization by PCI complicated by bacterial pericarditis

Ariaga,

Zhang,

Brijmohan Bhattad

et al. 2024

Int J Case Rep Images

View full text Add to dashboard Cite

show abstract

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Acute myocardial infarction complicated by purulent pericarditis: A case report

Cited by 1 publication

References 7 publications

A case of non-ST elevation MI with revascularization by PCI complicated by bacterial pericarditis

A case of non-ST elevation MI with revascularization by PCI complicated by bacterial pericarditis

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