Primary Streptococcus pneumoniae pericarditis.

Primary Streptococcus pneumoniae pericarditis.
Proc (Bayl Univ Med Cent). 2013 Jan;26(1):35-8
Authors: Peters MN, Hesterman KS, Katz MJ, Barnes MB, Brown RR, Nijjar VS, Bisharat MB, Irimpen AM
Abstract
Although commonly fatal, bacterial pericarditis is often not diagnosed antemortem due to its infrequent occurrence and fulminant course. Historically, Streptococcus pneumoniae has been the most common cause of bacterial pericarditis. Over the past 70 years, however, it has become largely eliminated and now occurs almost exclusively in immunocompromised individuals with a preceding primary site of infection. Herein, we present a case of primary S. pneumoniae pericarditis that developed over the course of 3 to 4 weeks in an immunocompetent 45-year-old man. The patient, who developed cardiac tamponade shortly after admission, experienced a rapid resolution of symptoms following pericardial drainage and initiation of antibiotics.
PMID: 23382609 [PubMed]

Source: Baylor University Medical Center Proceedings - January 1, 2013 Category: Universities & Medical Training Authors: Peters MN, Hesterman KS, Katz MJ, Barnes MB, Brown RR, Nijjar VS, Bisharat MB, Irimpen AM Tags: Proc (Bayl Univ Med Cent) Source Type: research