Idiopathic hemodynamically unstable polymicrobial purulent pericarditis: a rare case presentation. Issue 5 (23rd July 2020)

• Record Type: Journal Article
• Authors: Ased, Suhaib; Payne, Andrew Nathan; Yang, Calvin
• Is Part Of: JACEP open. Volume 1:Issue 5(2020)
• Page Start: 744
• Page End: 746
• Publication Date: 2020-07-23
• Subjects: emergency medicine -- emergency department -- pericardiocentesis -- tamponade -- sepsis -- pericarditis -- pericardial effusion; Medical emergencies -- Periodicals; 616.025
• DOI: 10.1002/emp2.12202
• Languages: English
• ISSNs: 0361-1124

Abstract

Abstract: Purulent pericarditis is an extremely rare disease accounting for <1% of pericarditis cases. Purulent pericarditis with hemodyamically unstable tamponade if untreated is fatal. Furthermore, although idiopathic polymicrobial disease is documented, a combination Haemophilus parainfluenzae, Prevotella buccae, and Citrobacter freundii have not been found in the literature by the authors. What follows is a case of a 58‐year‐old male who presented to the emergency department (ED) with these features and underwent emergent bedside pericardiocentesis and a brief review of current pericardiocentesis techniques in the emergency department.