Key result
A 54-year-old woman developed fatal CA-MRSA purulent cardiac tamponade secondary to an esophago-pericardial fistula from squamous cell esophageal cancer, succumbing despite pericardial drainage and antibiotics.
Case Report (n=1)
CA-MRSA purulent pericarditis is a rare and highly fatal condition that can occur secondary to an esophago-pericardial fistula from esophageal cancer.
Consider esophageal fistula in CA-MRSA purulent tamponade; leaves open optimal management strategies.
Community acquired methicillin resistant Staphylococcus aureus (CA-MRSA) infection is a matter of public health concern. The incidence of community acquired Staphylococcus aureus (CA-MRSA) is rising. To date only 12 cases of CA-MRSA pericarditis and seven cases of esophageal cancer related purulent pericarditis have been reported. We here present a 54 year old woman who presented with cardiac tamponade that was noted to be purulent and in whom esophagopericardial fistula secondary to squamous cell esophageal cancer was discovered subsequently. Purulent pericardial fluid subsequently grew MRSA. Patient succumbed despite appropriate management with antibiotics.
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Kariyanna et al. (2018) conducted a case report in CA-MRSA cardiac tamponade and esophago-pericardial fistula (n=1). Pericardial window and antibiotics was evaluated on Clinical outcome. A 54-year-old woman developed fatal CA-MRSA purulent cardiac tamponade secondary to an esophago-pericardial fistula from squamous cell esophageal cancer, succumbing despite pericardial drainage and antibiotics.
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