Purulent pericarditis: Difference between revisions
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* 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 |
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== Clinical |
== Clinical Manifestations == |
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* 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 |
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Latest revision as of 07:28, 17 July 2020
- 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
- Mycobacteria
- Tuberculosis (subacute or chronic presentation)
- Fungi
Pathophysiology
- Most commonly from hematogenous spread
- Can also result from direct spread from lungs, endocarditis, or trauma with direct inoculation
Clinical Manifestations
- 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: 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: 10.1016/0002-9343(75)90323-x
