Microbiology of acute purulent pericarditis. A 12-year experience in a military hospital

Brook, Itzhak

doi:10.1001/archinte.156.16.1857

Cited by 28 publications

(38 citation statements)

References 2 publications

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“…U osób z obniżoną odpornością lub po zabiegach torakochirugicznych częściej występuje zakażenie Staphylococcus aureus (30%) lub grzybicze (20%) [147]. Opisywano też przypadki zakażenia bakteriami beztlenowymi pochodzącymi z części ustnej gardła [148]. Do rozsiewu bakterii może dojść drogą hematogenną lub przez ciągłość, z przestrzeni zagardłowej, zastawek serca lub spod przepony [149].…”

Section: Epidemiologiaunclassified

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2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler

Charron²,

Imazio³

et al. 2015

Kardiol Pol

193

293

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Section: Epidemiologiaunclassified

“…Ropne zapalenie osierdzia jest schorzeniem rzadkim i zwykle ma ciężki przebieg, z wysoką gorączką, a dominującym elementem obrazu klinicznego może być posocznica [146][147][148][149]. Podejrzenie ropnego zapalenia osierdzia stanowi wskazanie do pilnego wykonania perikardiocentezy [1,5,12] o charakterze diagnostycznym.…”

Section: Diagnostykaunclassified

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler

Charron²,

Imazio³

et al. 2015

Kardiol Pol

193

293

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“…aerobic bacilli (3). In addition, facultative bacteria is frequently implicated in pericarditis (14). Therefore, ABPC, panipenem betamipron and clindamycin were chosen in the present patient.…”

Section: Discussionmentioning

confidence: 99%

Infective Endocarditis and Acute Purulent Pericarditis in a Patient with Hyperglycemia

et al. 2005

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A diabetic patient was admitted to our hospital for infective endocarditis with acute purulent pericarditis and diabetic ketoacidosis. Echocardiography revealed attachment of vegetation to the chordae tendineae in the left ventricle and pericaridial effusion. The vegetation was enlarged and pendulated for a few days despite maximal antimicrobial therapy. Surgical resection was desirable to decrease the risk of embolic complications and cardiovascular collapse. We could not open the heart because of accumulation of purulent pericardial fluid, and right renal infarction was complicated. We believe that the immunocompromised and hypercoagulable state due to diabetes caused these conditions. (Internal Medicine 44: 666-670, 2005)

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“…We reported our experience in studying the microbiological and clinical characteristics in 15 cases of acute pericarditis treated over a 12-year period [9]. Aerobic or facultative bacteria alone were present in 7 specimens (47%), anaerobic bacteria alone in 6 specimens (40%), and mixed aerobic-anaerobic flora in 2 specimens (13%).…”

Section: Microbiologymentioning

confidence: 99%

Pericarditis due to Anaerobic Bacteria

Brook

2002

Cardiology

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This review describes the microbiology, diagnosis and management of pericarditis due to anaerobic bacteria. The predominant anaerobes recovered from patients with pericarditis were: gram-negative bacilli (mostly of the Bacteroides fragilis group), anaerobic streptococci, Clostridium spp., Fusobacterium spp., and Bifidobacterium spp. Anaerobic bacteria can be isolated in pericarditis resulting from the following mechanisms: (1) spread from a contiguous focus of infection, either de novo or after surgery or trauma (pleuropulmonary, esophageal fistula or perforation, and odontogenic); (2) spread from a focus of infection within the heart, most commonly from endocarditis; (3) hematogenous infection, and (4) direct inoculation as a result of a penetrating injury or cardiothoracic surgery. No differences were found in the clinical diagnostic features between cases of pericarditis due to anaerobic bacteria and those due to aerobic and facultative bacteria. Anaerobic gram-negative bacilli have increased their resistance to penicillins and other antimicrobials in the last decade. Complete identification and testing for antimicrobial susceptibility and lactamase production are therefore essential for the management of infections caused by these bacteria. Treatment of pericarditis involving anaerobic bacteria includes the use of antibiotic therapy effective against these organisms.

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Microbiology of acute purulent pericarditis. A 12-year experience in a military hospital

Abstract: The findings in our study highlight the potential importance of anaerobic bacteria in acute pericarditis.

Cited by 28 publications

References 2 publications

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Infective Endocarditis and Acute Purulent Pericarditis in a Patient with Hyperglycemia

Pericarditis due to Anaerobic Bacteria

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