Key result
Emergent pericardiocentesis and 4 weeks of intravenous ceftriaxone led to complete clinical recovery in a 66-year-old man with Streptococcus anginosus purulent pericarditis and cardiac tamponade.
Why the study?
Purulent pericarditis caused by Streptococcus anginosus is extremely rare.
Case Report (n=1)
Purulent pericarditis caused by Streptococcus anginosus is a rare but treatable complication following CABG and sternal wound dehiscence.
Recognizes rare post-CABG S. anginosus purulent pericarditis as potentially treatable; single case leaves optimal protocols open.
Purulent pericarditis caused by Streptococcus anginosus is extremely rare. A 66-year-old man underwent elective coronary artery bypass surgery. This was complicated by sternal wound dehiscence with drainage. Subsequently, he developed fever, progressive dyspnoea and presyncope. Echocardiography showed a large pericardial effusion with evidence of tamponade. He underwent emergent pericardiocentesis. The pericardial fluid culture grew S. anginosus. He was treated with 4 weeks of intravenous ceftriaxone with complete clinical recovery. The source of infection was most likely the sternal wound which was overlooked during debridement and rewiring surgery.
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Qiangjun Cai (2020) conducted a case report in Streptococcus anginosus purulent pericarditis with cardiac tamponade (n=1). Pericardiocentesis and intravenous ceftriaxone was evaluated on Clinical recovery. Emergent pericardiocentesis and 4 weeks of intravenous ceftriaxone led to complete clinical recovery in a 66-year-old man with Streptococcus anginosus purulent pericarditis and cardiac tamponade.
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