Purulent Pericarditis Leading to Cardiac Tamponade and Constrictive Physiology.

ABSTRACT:

Background

Purulent pericarditis is a rare infection of the pericardial space, characterized by the accumulation of pus.

Case summary

A middle-aged woman presented with chest pain. Serial echocardiograms over approximately 16 hours demonstrated the development of cardiac tamponade and obstructive shock. Emergency pericardiocentesis yielded purulent fluid, which grew Streptococcus pneumoniae. Despite hemodynamic improvement, she subsequently developed constrictive physiology (CP), which was diagnosed with cardiac catheterization and cardiac magnetic resonance.

Discussion

This case illustrates an uncommon and life-threatening presentation of purulent pericarditis. The patient's rapid progression highlights the importance of early recognition and timely drainage. Additio

SUBMITTER: Davis DN 

PROVIDER: S-EPMC12714515 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature