Key result
A 19-year-old patient with community-acquired methicillin-resistant Staphylococcus aureus pericarditis and cardiac tamponade underwent pericardiocentesis draining 900 mL of purulent fluid.
Case Report (n=1)
No
This case highlights the potential for community-acquired MRSA to cause severe purulent pericarditis and cardiac tamponade in patients without typical healthcare-associated risk factors.
Clinicians should consider community-acquired MRSA in atypical purulent pericarditis; extends known spectrum but remains hypothesis-generating.
Chest computed tomography showed pericardial effusion and bilateral small pleural effusion in a 19-year-old patient. Nine hundred mL of yellow purulent fluid was drained by pericardiocentesis. Culture of the fluid grew methicillin resistant Staphylococcus aureus (MRSA). Our patient denied history of previous hospitalization, surgical procedures, or illicit drug use and antibiotic sensitivity was typical of that of community acquired (CA)-MRSA. To the best of our knowledge, this is the first case of CA-MRSA pericarditis to be reported in Egypt and the third to be reported in English literature.
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Hussam et al. (2010) conducted a case report in Community-Acquired Methicillin-Resistant Staphylococcus aureus Pericarditis (n=1). Pericardiocentesis was evaluated. A 19-year-old patient with community-acquired methicillin-resistant Staphylococcus aureus pericarditis and cardiac tamponade underwent pericardiocentesis draining 900 mL of purulent fluid.
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