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  • Title: Gonococcal pericarditis with tamponade in a patient with systemic lupus erythematosus.
    Author: Coe MD, Hamer DH, Levy CS, Milner MR, Nam MH, Barth WF.
    Journal: Arthritis Rheum; 1990 Sep; 33(9):1438-41. PubMed ID: 2403406.
    Abstract:
    Pericarditis is one of the most frequent manifestations of systemic lupus erythematosus; however, purulent pericarditis and tamponade are rare. We describe a patient with systemic lupus erythematosus and culture-proven gonococcal arthritis who developed purulent pericarditis with intracellular gram-negative diplococci. Evidence of tamponade was seen on echocardiography. There has not been a reported case of Neisseria gonorrhoeae in pericardial fluid or tissue since the introduction of antibiotics.
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