Abstract
Background: Purulent pericarditis has become a rare clinical entity since the onset of antimicrobial therapy and has a poor outcome in the majority of cases.
Case-report: A healthy 3 month-old patient admitted with dyspnea, pallor and anorexia, developing cardiogenic shock due to cardiac tamponade. Chest X-ray showed cardiomegaly. He required mechanical ventilation, volume resuscitation and vasoactive drugs. Echocardiogram showed a large pericardial effusion, CT sean ruled out lung and mediastinal infection. Pericardial drainage was performed and Vancomycin plus Ceftriaxone were initiated, with a positive blood culture for Penicillin-sensitive Streptococcus pneumoniae. The evolution was favourable after surgical drainage and controlling the infection. No extraperdicardial infection was found. He received 3 weeks of antibiotic therapy. Immunological studies were normal.
Conclusión: Primary purulent pericarditis is uncommon, so early detection and treatment of this life-threatening condition may lead to a good outcome.
Los contenidos publicados en esta revista están protegidos bajo una Licencia Creative Commons Atribución 4.0 Internacional (CC BY 4.0). Esto significa que cualquier persona es libre de compartir, usar y construir a partir de este artículo, incluso con fines comerciales, siempre que se otorgue el crédito apropiado al autor original, se proporcione un enlace a la licencia, se indique el nombre y edición de la Revista.
Esta licencia no impone restricciones adicionales, lo que garantiza la libre circulación y reutilización del conocimiento con respeto y transparencia hacia los derechos de los autores. (Véase El efecto del acceso abierto).