Prompt pericardiocentesis and fenestration alongside pharmacological treatment can lead to complete recovery in acute heart failure caused by purulent pericarditis from invasive pneumococcal disease.
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Successful drainage resolved pneumococcal purulent pericarditis with acute HF; leaves open generalizability beyond this single case.
This report describes a 61-year-old female with no previous cardiovascular history presented with acute heart failure. Clinical, laboratory, and imaging findings suggested the diagnosis of pneumococcal invasive disease with concomitant purulent pericarditis. Prompt pharmacological and operatory treatment with both pericardiocentesis and further fenestration brought to a complete recovery.
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Tersalvi et al. (2021) studied this question.
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