Purulent pericarditis - Revision history

Aidan: Text replacement - "Clinical Presentation" to "Clinical Manifestations"

2020-07-17T07:28:22Z

Text replacement - "Clinical Presentation" to "Clinical Manifestations"

← Older revision		Revision as of 07:28, 17 July 2020
Line 27:		Line 27:
	* Can also result from direct spread from lungs, endocarditis, or trauma with direct inoculation		* Can also result from direct spread from lungs, endocarditis, or trauma with direct inoculation

	== Clinical ~~Presentation~~ ==		== Clinical Manifestations ==

	* Classic signs of pericarditis, including chest pain and cardiac rub, may be absent		* Classic signs of pericarditis, including chest pain and cardiac rub, may be absent

Aidan: /* Microbiology */ fixed typo

2019-08-19T19:39:50Z

Microbiology: fixed typo

← Older revision		Revision as of 19:39, 19 August 2019
Line 7:		Line 7:
	** ''[[Streptococcus pneumoniae]]'' (previously more common; associated with pneumonia)		** ''[[Streptococcus pneumoniae]]'' (previously more common; associated with pneumonia)
	** ''[[Haemophilus influenzae]]''		** ''[[Haemophilus influenzae]]''
	*** ''[[Salmonella typherium]]''		** ''[[Salmonella typherium]]''
	** Less common		** Less common
	*** ''[[Proteus]]''		*** ''[[Proteus]]''

Aidan: Initial page creation

2019-08-19T19:39:40Z

Initial page creation

New page

* Bacterial pericarditis causing purulent pericardial effusion

== Microbiology ==

* '''Bacteria'''
** ''[[Staphylococcus aureus]]'' (~30%)
** ''[[Streptococcus pneumoniae]]'' (previously more common; associated with pneumonia)
** ''[[Haemophilus influenzae]]''
*** ''[[Salmonella typherium]]''
** Less common
*** ''[[Proteus]]''
*** ''[[Escherichia coli]]''
*** ''[[Pseudomonas aeruginosa]]''
*** ''[[Klebsiella pneumoniae]]''
*** ''[[Neisseria meningitis]]''
*** ''[[Bacteroides]]'' spp.
*** ''[[Nocardia asteroides]]''
* '''Mycobacteria'''
** [[Tuberculous pericarditis|Tuberculosis]] (subacute or chronic presentation)
* '''Fungi'''
** ''[[Candida]]''
** ''[[Aspergillus]]''

== Pathophysiology ==

* Most commonly from hematogenous spread
* Can also result from direct spread from lungs, endocarditis, or trauma with direct inoculation

== Clinical Presentation ==

* Classic signs of pericarditis, including chest pain and cardiac rub, may be absent

== Further Reading ==

* The changed spectrum of purulent pericarditis: An 86 year autopsy experience in 200 patients. ''Am J Med''. 1997;63(5):666-673. doi: [https://doi.org/10.1016/0002-9343(77)90150-4 10.1016/0002-9343(77)90150-4]
* Clinical, microbiologic and therapeutic aspects of purulent pericarditis. ''Am J Med''. 1975 Jul;59(1):68-78. doi: [https://doi.org/10.1016/0002-9343(75)90323-x 10.1016/0002-9343(75)90323-x]

[[Category:Cardiac infections]]