Key result
An emergency pericardial window and antibiotic therapy successfully treated a 67-year-old woman with immune thrombocytopenia who developed cardiac tamponade due to Staphylococcus pyopericardium.
Case Report (n=1)
Highlights a rare case of Staphylococcus pyopericardium progressing to cardiac tamponade in an immunosuppressed patient without a primary focus of infection.
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May guide acute management of rare pyopericardium tamponade in ITP; leaves open optimal strategies.
Pericardial effusion can develop during any stage of pericarditis, and small effusions that appear rapidly can cause cardiac tamponade. Pyopericardium is a rare aetiology for tamponade. This is a case of an elderly diabetic lady, on steroid therapy for immune thrombocytopenia, who presented with fever and acute dyspnoea. She developed cardiac tamponade due to pyopericardium with Staphylococcus as the causative organism. Staphylococcus pyopericardium, in the absence of a primary focus of infection, progressing to tamponade is an uncommon scenario.
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Gopalakrishnan et al. (2018) conducted a case report in Pyopericardium progressing to cardiac tamponade (n=1). Pericardial window and antibiotics was evaluated on Resolution of tamponade and infection. An emergency pericardial window and antibiotic therapy successfully treated a 67-year-old woman with immune thrombocytopenia who developed cardiac tamponade due to Staphylococcus pyopericardium.
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