Why the study?
Purulent pericarditis as a presenting sign of infective endocarditis has rarely been documented in the literature.
Purulent pericarditis can be a rare and fatal initial manifestation of infective endocarditis in hemodialysis patients, requiring high clinical suspicion and aggressive treatment.
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Clinicians should consider infective endocarditis in hemodialysis patients with purulent pericarditis; case report extends sparse literature but leaves practice implications open.
Gracia‐Ramos et al. (2025) studied this question.
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