Key result
Acute purulent pericarditis leading to tamponade due to S. aureus and M. tuberculosis co-infection was identified as the first manifestation of HIV in a 39-year-old diabetic man.
Why the study?
Purulent pericarditis is an unusual first manifestation of HIV infection, and co-infection with Staphylococcus aureus and Mycobacterium tuberculosis is rarely reported.
Case Report (n=1)
Primary purulent pericarditis can be a rare first manifestation of HIV infection, and co-infection with multiple organisms like S. aureus and M. tuberculosis should be considered.
Answers are grounded in this paper and cite their sources.
May warrant HIV testing in purulent pericarditis with tamponade; hypothesis-generating for polymicrobial co-infection in diabetics.
Purulent pericarditis is an unusual first manifestation of HIV-infected patients. Co-infections in this scenario are possible and challenging. Mycobacterium tuberculosis is a frequent agent in purulent pericarditis related to HIV infection but co-infection with Staphylococcus aureus is rarely reported. We describe a rare case in otherwise asymptomatic 39-year-old diabetic man with acute purulent pericarditis leading to tamponade due to S. aureus and evidences of M. tuberculosis co-infection. Testing for human immunodeficiency virus was positive. Primary purulent pericarditis is a rare condition and may indicate underlying HIV infection. In this scenario, coinfection with multiple organisms are possible and patient should be tested for underlying tuberculosis in addition to standard microbiological workup.
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Lamas et al. (2019) conducted a case report in Acute purulent pericarditis, HIV infection (n=1). Acute purulent pericarditis leading to tamponade due to S. aureus and M. tuberculosis co-infection was identified as the first manifestation of HIV in a 39-year-old diabetic man.
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