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Primary Streptococcus Pneumoniae Pericarditis

Although commonly fatal, bacterial pericarditis is often not diagnosed antemortem due to its infrequent occurrence and fulminant course. Historically, Streptococcus pneumoniae has been the most common cause of bacterial pericarditis. Over the past 70 years, however, it has become largely eliminated...

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Bibliographic Details
Published in:Proceedings - Baylor University. Medical Center 2013-01, Vol.26 (1), p.35-38
Main Authors: Peters, Matthew N., Hesterman, Kathleen S., Katz, Morgan J., Barnes, Meredith B., Brown, Ryan R., Nijjar, Vikram S., Bisharat, Mohannad B., Irimpen, Anand M.
Format: Article
Language:English
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Summary:Although commonly fatal, bacterial pericarditis is often not diagnosed antemortem due to its infrequent occurrence and fulminant course. Historically, Streptococcus pneumoniae has been the most common cause of bacterial pericarditis. Over the past 70 years, however, it has become largely eliminated and now occurs almost exclusively in immunocompromised individuals with a preceding primary site of infection. Herein, we present a case of primary S. pneumoniae pericarditis that developed over the course of 3 to 4 weeks in an immunocompetent 45-year-old man. The patient, who developed cardiac tamponade shortly after admission, experienced a rapid resolution of symptoms following pericardial drainage and initiation of antibiotics.
ISSN:0899-8280
1525-3252
DOI:10.1080/08998280.2013.11928910