Why the study?
Acute bacterial pericarditis is rarely encountered in the modern antibiotic era, but purulent pericarditis carries high mortality and can rapidly progress to cardiac tamponade.
Highlights the successful management of a rare case of massive purulent pericarditis with cardiac tamponade using IV antibiotics and drainage.
Adds to sparse literature on purulent pericarditis with tamponade; hypothesis-generating and should not yet change practice.
Acute bacterial pericarditis is rarely encountered in the modern antibiotic era. Purulent pericarditis is a serious form of bacterial pericarditis with high mortality. It can rapidly progress to cardiac tamponade, leading to hemodynamic instability, septic shock, and death if left untreated. Here we present a case of massive purulent pericarditis with cardiac tamponade that was successfully managed with intravenous antibiotics and drainage in a young immunocompetent man.
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Latif et al. (2020) studied this question.
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