A Case of Acute Purulent Streptococcus pneumoniae Pericarditis Causing Tamponade and Cardiac Arrest in a COVID-19-Infected Patient.

Publication date: May 01, 2023

Purulent pericarditis due to Streptococcus pneumoniae (S. pneumoniae) has been increasingly rare since the advent of antibiotics; however, it still carries a high mortality rate, especially in the setting of tamponade. Bedside transthoracic echocardiogram (TTE) is a useful, cheap, and underutilized tool that can aid in the diagnosis, treatment, and further management of patients presenting to the emergency department with chest pain, as well as during cardiac resuscitation. In this report, we present a case of an acute purulent S. pneumoniae pericarditis of an unknown primary source in a patient coinfected with coronavirus disease 2019 (COVID-19) pneumonia, resulting in cardiac tamponade and cardiac arrest that resolved with the aid of bedside echocardiography-guided pericardiocentesis. We attempt to highlight the importance of clinicians using echocardiography to aid in their clinical decision-making, demonstrating it as a fast and effective tool capable of providing instantaneous feedback.

Concepts Keywords
Cardiac covid 19
Cheap pericardiocentesis
Clinicians purulent pericarditis
Mortality streptococcus pneumoniae
Pneumoniaepericarditis transthoracic echocardiogram


Type Source Name
disease MESH Pericarditis
disease MESH Cardiac Arrest
disease MESH COVID-19
disease MESH emergency
disease MESH chest pain
disease VO report
disease MESH pneumonia
disease MESH cardiac tamponade
disease VO effective
disease MESH pericardial effusion

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