Successful Intrapericardial Fibrinolysis on Acute Recurrent Purulent Pericarditis with Impending Cardiac Tamponade during Pandemic Situation: A Rare Case Report

Introduction: Acute recurrent purulent pericarditis is an uncommon pericardium infection that can be life-threatening due to pus production, leading cardiac tamponade. Case presentation: We report a 36-year-old man referring our hospital with impending tamponade who needed urgent pericardiocentesis. The patient's complaints were worsening dyspnea and palpitations in the last two days. patient had been hospitalized for same complaint pericardiocentesis approximately three weeks earlier. Physical exam, ECG, CXR suggest Echocardiography indicated massive right left pericardial effusion atrial collapse. Covid-19 screening test was positive; however, RT-PCR revealed negative result. diagnosed acute requiring After procedure, 1.5 million units of intrapericardial fibrinolytic administered patients. His improved hemodynamic clinical symptoms indicate successful procedure. Conclusion: This case highlights challenges managing Staphylococcus A. current pandemic era, including distinguishing it from other contagious diseases nonspecific dyspnea, limited therapeutic options, effectiveness improving overall conditions, reducing mortality rate.