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http://dx.doi.org/10.3904/kjm.2012.82.2.221

A Case of Acute Purulent Pericarditis Complicated by Severe Left Ventricular Systolic Dysfunction and Cardiac Tamponade  

Choi, Su-Jin (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea School of Medicine)
Chung, Woo-Baek (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea School of Medicine)
Kim, Hyun-Jin (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea School of Medicine)
Yim, Sun-Mie (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea School of Medicine)
Choi, Yun-Seok (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea School of Medicine)
Park, Chul-Soo (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea School of Medicine)
Lee, Man-Young (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea School of Medicine)
Publication Information
The Korean Journal of Medicine / v.82, no.2, 2012 , pp. 221-226 More about this Journal
Abstract
An 85-year-old male visited our hospital because of dyspnea. Chest radiography showed marked cardiomegaly and pneumonic infiltration. Transthoracic echocardiography showed moderate pericardial effusion, which resulted in effusive constrictive pericarditis and severe left ventricular systolic dysfunction. During the hospital course, the patient developed cardiogenic shock and was treated with an inotropic agent and intra-aortic balloon pump. The patient's vital signs were stabilized after pericardiocentesis and drainage. A yellowish purulent pericardial effusion was drained and Streptococcus pneumoniae was isolated. Bacterial purulent pericarditis was not uncommon before the antibiotics era, but it is extremely rare nowadays. Here, we report a case of purulent bacterial pericarditis presenting with severe left ventricular systolic dysfunction and cardiac tamponade.
Keywords
Pericarditis; Cardiac tamponade; Ventricular dysfunction;
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