Purulent Pericarditis and Mycotic Pseudoaneurysm of the Ascending Aorta: A Case Report

Concomitant presentation of purulent pericarditis and mycotic pseudoaneurysm of the ascending aorta is exceedingly uncommon. We present a case of a 63-year-old male who presented to the emergency department after one week of severe neck pain along with pleuritic chest pain. He was found to have puru...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-11, Vol.16 (11), p.e72857
Main Authors: Subillaga, Oswaldo, Omer, Mohamed S, Sodha, Neel R
Format: Article
Language:English
Subjects:
Cardiac/Thoracic/Vascular Surgery
Infectious Disease
Radiology
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Summary:Concomitant presentation of purulent pericarditis and mycotic pseudoaneurysm of the ascending aorta is exceedingly uncommon. We present a case of a 63-year-old male who presented to the emergency department after one week of severe neck pain along with pleuritic chest pain. He was found to have purulent pericarditis associated with a 0.9cm pseudoaneurysm of the ascending aorta. He underwent surgical repair with a bovine pericardial patch as well as mediastinal debridement, which revealed a larger area of necrosis than anticipated based on imaging. Microbiological investigation revealed the presence of Methicillin-sensitive Staphylococcus aureus (MSSA) in both tissues from the aortic pseudoaneurysm and the pericardial rind.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.72857