Abstract
Purulent pericarditis usually presents as an acute illness with diffuse involvement of the whole pericardium, but can rarely present as a localized effusion. Here, we present a patient with a pericardial abscess caused by Staphylococcus aureus. After surgical drainage of the abscess, the patient made a good recovery. To the best of our knowledge, this is the first case of a pericardial abscess presenting as a localized bulge of the heart contour on the chest X-ray.
2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
MeSH terms
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Abscess / etiology
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Abscess / microbiology
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Abscess / therapy*
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Aged
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Anti-Bacterial Agents / therapeutic use*
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Bacteremia / complications
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Bacteremia / diagnosis*
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Bacteremia / drug therapy
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Combined Modality Therapy
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Diagnosis, Differential
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Drainage / methods*
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Follow-Up Studies
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Humans
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Male
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Pericarditis / etiology
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Pericarditis / microbiology
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Pericarditis / therapy*
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Radiography, Thoracic
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Risk Assessment
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Severity of Illness Index
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Staphylococcal Infections / complications
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Staphylococcal Infections / diagnosis*
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Staphylococcal Infections / drug therapy
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Staphylococcus aureus / isolation & purification
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Tomography, X-Ray Computed
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Treatment Outcome