Purulent Pericarditis Leading to Constriction

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Purulent Pericarditis Leading to Constriction

We report a case of a previously healthy 61-year-old immunocompetent male who was found to have purulent bacterial pericarditis. The patient was initially diagnosed with pneumococcal pneumonia and bacteremia after presenting with chest pain and a productive cough. He was found to have a purulent pericardial effusion and underwent surgical washout and creation of a pericardial window. In short t...

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Purulent pericarditis followed by early constriction in young children.

Case I A 28-month-old Negress was admitted to the Middlesex Hospital with acute bronchopneumonia. She was treated with ampicillin 2 g and cloxacillin 2 g daily, with only partial improvement. During the week after admission signs of heart failure appeared, the heart sounds became softer, and the size of the heart on x-ray increased steadily. The electrocardiogram showed low voltage curves with ...

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Purulent pericarditis.

Purulent pericarditis is an infrequent, but important complication of infective illnesses, in particular pneumonia, which if diagnosed early has a good prognosis. The incidence of the condition is probably increasing, particularly in the immuno-compromised group of patients. 'Classical' symptoms and signs are often absent, and a high index of awareness is required to diagnose the condition. Thi...

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Purulent pericarditis.

Eleven children under 16 years of age with purulent pericarditis were seen in one hospital in one year. The condition was always secondary to a septic focus elsewhere, usually staphylococcal pneumonia; its incidence after pneumonia was 0.64%, but this may be an underestimate. Clinical diagnosis can be difficult in patients with pneumonia as the heart is not always enlarged. Persistent or progre...

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Purulent pericarditis.

5. A 73-year-old woman on hemodialysis presents with fever, chest pain, leukocytosis, and an enlarged cardiac silhouette. What would be the most common sign indicating impending tamponade? (A) Bradycardia (B) Hypertension (C) Pericardial rub (D) Tachycardia (E) Tachypnea 6. A 22-year-old woman diagnosed with pericarditis has an elevated cardiac troponin value on initial testing. What is the app...

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ژورنال

عنوان ژورنال: Cardiology Research

سال: 2014

ISSN: 1923-2829,1923-2837

DOI: 10.14740/cr356w