Purulent pericarditis caused by <i>Streptococcus pyogenes</i>: a case report and review.

ABSTRACT:

Background

Purulent pericarditis is rare and associated with significant mortality. We outline a case of Group A streptococcus (GAS, Streptococcus pyogenes) native aortic valve infective endocarditis with associated purulent pericarditis and review the literature. Of the reported cases, most occur in children and have high degrees of mortality. There are no cases that describe GAS purulent pericarditis as a complication of infective endocarditis.

Case summary

A 43-year-old female presented with an altered conscious state and refractory hypotension. An urgent transthoracic echocardiogram revealed a vegetation on the aortic valve, moderate-severe aortic regurgitation and a moderate-large circumferential pericardial effusion with evidence of early cardiac tamponade. An u

SUBMITTER: Somma V 

PROVIDER: S-EPMC11983273 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature