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12474_5635478_1806-3713-jbpneu-41-04-00389.pdf (2.22 MB)

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2015-07

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cc by-nc (c) Sociedade Brasileira de Pneumologia e Tisiologia, 2015
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/145340

Streptococcus pneumoniae-associated pneumonia complicated by purulent pericarditis: case series

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Recurs relacionat

http://dx.doi.org/10.1590/S1806-37132015000000010

Resum

Objective: In the antibiotic era, purulent pericarditis is a rare entity. However, there are still reports of cases of the disease, which is associated with high mortality, and most such cases are attributed to delayed diagnosis. Approximately 40-50% of all cases of purulent pericarditis are caused by Gram-positive bacteria, Streptococcus pneumoniae in particular. Methods: We report four cases of pneumococcal pneumonia complicated by pericarditis, with different clinical features and levels of severity. Results: In three of the four cases, the main complication was cardiac tamponade. Microbiological screening (urinary antigen testing and pleural fluid culture) confirmed the diagnosis of severe pneumococcal pneumonia complicated by purulent pericarditis. Conclusions: In cases of pneumococcal pneumonia complicated by pericarditis, early diagnosis is of paramount importance to avoid severe hemodynamic compromise. The complications of acute pericarditis appear early in the clinical course of the infection. The most serious complications are cardiac tamponade and its consequences. Antibiotic therapy combined with pericardiocentesis drastically reduces the mortality associated with purulent pericarditis.

Matèries

Pneumococs, Malalties del pericardi

Matèries (anglès)

Streptococcus pneumonia, Pericardium diseases

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Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citació

CILLÓNIZ, Catia, RANGEL, Ernesto, BARLASCINI, Cornelius, PIRODDI, Ines maria grazia, TORRES MARTÍ, Antoni, NICOLINI, Antonello. Streptococcus pneumoniae-associated pneumonia complicated by purulent pericarditis: case series. _Jornal Brasileiro de Pneumologia_. 2015. Vol. 41, núm. 4, pàgs. 389-394. [consulta: 21 de gener de 2026]. ISSN: 1806-3713. [Disponible a: https://hdl.handle.net/2445/145340]

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