Why the study?
Methicillin-resistant Staphylococcus aureus pericarditis is a rare, life-threatening infection.
MRSA pericarditis with tamponade can be successfully managed with drainage and medical therapy (vancomycin, aspirin, colchicine) even in severely immunocompromised patients when surgery is deemed too high risk.
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Alerts clinicians to tamponade risk in MRSA sepsis with AIDS; leaves open optimal management strategies in immunocompromised patients.
Methicillin-resistant staphylococcus aureus (MRSA) pericarditis is a rare life-threatening infection. A 46-year-old female with hypertension, acquired immunodeficiency syndrome (AIDS) and recurrent neck abscesses, presented with a neck abscess and sepsis. Bloody purulent drainage from the abscess was found and antibiotics were started. Drainage was positive for MRSA. Four days after, course was complicated by acute pericarditis and pericardial tamponade; pericardial fluid was drained and was positive for MRSA. Vancomycin was continued, and aspirin and colchicine were started. Two days later, there was a recurrent pericardial fluid collection with loculation. Surgery was thought to be dangerous in the setting of CD4 count of 12. She was managed conservatively thereafter, with vancomycin, aspirin and colchicine, and was successfully discharged from the hospital.
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Ali et al. (2020) studied this question.
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