2022, Number 2
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Med Int Mex 2022; 38 (2)
Purulent pericarditis with cardiac tamponade
Saldaña-Xolalpa J, Herrera-Flores J
Language: Spanish
References: 13
Page: 442-447
PDF size: 422.97 Kb.
ABSTRACT
Background: Purulent pericarditis is a rare entity. It occurs only in 5% of cases
of pericarditis, it develops as a result of systemic or localized infections in other
organs and it has a mortality of up to 40%, as it can lead to tamponade and multiple
organ failure.
Clinical case: A 51-year-old male patient presented with cardiac tamponade secondary
to purulent pericarditis with sepsis, meriting emergency pericardiocentesis and later
drainage of the recurrent pericardial effusion through subxiphoid pericardial window;
however, the outcome was catastrophic.
Conclusions: Purulent pericarditis is infrequent and can present with cardiac tamponade,
constituting an emergency that requires initially invasive and pharmacological
procedures; however, its evolution is often fatal.
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