A Case of Acute Purulent Streptococcus pneumoniae Pericarditis Causing Tamponade and Cardiac Arrest in a COVID-19-Infected Patient

Purulent pericarditis due to     has been increasingly rare since the advent of antibiotics; however, it still carries a high mortality rate, especially in the setting of tamponade. Bedside transthoracic echocardiogram (TTE) is a useful, cheap, and underutilized tool that can aid in the diagnosis, t...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-05, Vol.15 (5), p.e39467
Main Authors: Masarweh, Omar M, Vyas, Parag, Knapp, Thomas M, Gonzalez-Morales, Ubaldo, Ammar, Ali
Format: Article
Language:English
Subjects:
Antibiotics
Auscultation
Cardiac arrest
Cardiology
Case reports
Cellulitis
COVID-19
Creatinine
Dehydrogenases
Ejection fraction
Electrocardiography
Emergency Medicine
Hospitalization
Internal Medicine
Laboratories
Leukocytes
Mortality
Pain
Patients
Pericarditis
Pericardium
Pneumonia
Severe acute respiratory syndrome coronavirus 2
Streptococcus infections
Ultrasonic imaging
Viral infections
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Summary:Purulent pericarditis due to     has been increasingly rare since the advent of antibiotics; however, it still carries a high mortality rate, especially in the setting of tamponade. Bedside transthoracic echocardiogram (TTE) is a useful, cheap, and underutilized tool that can aid in the diagnosis, treatment, and further management of patients presenting to the emergency department with chest pain, as well as during cardiac resuscitation. In this report, we present a case of an acute purulent   pericarditis of an unknown primary source in a patient coinfected with coronavirus disease 2019 (COVID-19) pneumonia, resulting in cardiac tamponade and cardiac arrest that resolved with the aid of bedside echocardiography-guided pericardiocentesis. We attempt to highlight the importance of clinicians using echocardiography to aid in their clinical decision-making, demonstrating it as a fast and effective tool capable of providing instantaneous feedback.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.39467