alexa A Case of Slowly Progressive Purulent Pericarditis in Elderly Healthy Woman | OMICS International | Abstract
ISSN: 2329-9126

Journal of General Practice
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Case Report

A Case of Slowly Progressive Purulent Pericarditis in Elderly Healthy Woman

Eitaro Kodani*, Takeshi Tadera, Chikao Ibuki, Yoshiki Kusama and Hirotsugu Atarashi
Department of Internal Medicine and Cardiology, Nippon Medical School Tama-Nagayama Hospital, Tokyo, Japan
Corresponding Author : Eitaro Kodani, MD
Department of Internal Medicine and Cardiology
Nippon Medical School Tama-Nagayama Hospital
1-7-1 Nagayama, Tama-shi, Tokyo 206-8512, Japan
Tel: +81-42-371-2111
E-mail: [email protected]
Received February 11, 2014; Accepted February 25, 2014; Published March 03, 2014
Citation: Kodani E, Tadera T, Ibuki C, Kusama Y, Atarashi H (2014) A Case of Slowly Progressive Purulent Pericarditis in Elderly Healthy Woman. J Gen Pract 2:149. doi:10.4172/2329-9126.1000149
Copyright: © 2014 Kodani E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

A 67-year-old woman was admitted with dyspnea. The cheat X-ray showed marked cardiomegaly and the echocardiography revealed diffuse massive pericardial effusion but no finding of vegetation on valves. Clinical sign of cardiac tamponade was not observed. Values of white blood cell and C-reactive protein were 23,900/μL and 16.2 mg/dL, respectively. Immediately, pericardiocentesis was performed. Pericardial effusion was yellowish purulent exudate and Streptococcus pneumoniae was detected in culture. The early pericardial drainage and the effective doses of intravenous antibiotics and γ-globulin were successful for the treatment of this bacterial pericarditis, and no more surgical procedure was needed. Neither recurrence of inflammation nor constrictive pericarditis was developed after discontinuation of antibiotics during the follow-up period for over three years at the outpatient clinic. In this case, an infection route was unknown since pneumonia, empyema, or other focus of infection was not found. Although she had an upper respiratory infection one year prior to this pericarditis, their association was unclear. She was previously healthy and was not a compromised host. This case is thought to be rare bacterial pericarditis with slow progression in the recent antibiotic era.

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