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  • Title: Idiopathic Purulent Pericarditis Caused by Methicillin-Sensitive Staphylococcus Aureus in an Immunocompetent Adult.
    Author: Huffman DL, Shnoda M, Shankar K, Peterson C, Gajjar K.
    Journal: Cureus; 2021 Mar 29; 13(3):e14173. PubMed ID: 33936884.
    Abstract:
    INTRODUCTION: Acute purulent pericarditis is an exceedingly rare entity most often caused by direct intrathoracic contamination or hematogenous spread of a bacterial infection. Mortality nears 100% when left untreated. We present here a rare case of idiopathic bacterial pericarditis caused by methicillin-sensitive Staphylococcus aureus (MSSA). CASE: A 69-year-old male presented with chest pain and abdominal pain. He was found to have a pericardial effusion and tamponade and underwent emergent pericardiocentesis. Pericardial fluid culture grew methicillin-sensitive Staphylococcus aureus. The patient required multiple pericardial washouts and was then treated with four weeks of intravenous antibiotics. CONCLUSION: While uncommon, clinical suspicion for purulent pericarditis should remain high due to the associated high mortality.
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