Streptococcus anginosus purulent pericarditis with cardiac tamponade after coronary artery bypass surgery

Research output: Contribution to journalArticle

Abstract

Purulent pericarditis caused by Streptococcus anginosus is extremely rare. A 66-year-old man underwent elective coronary artery bypass surgery. This was complicated by sternal wound dehiscence with drainage. Subsequently, he developed fever, progressive dyspnoea and presyncope. Echocardiography showed a large pericardial effusion with evidence of tamponade. He underwent emergent pericardiocentesis. The pericardial fluid culture grew S. anginosus. He was treated with 4 weeks of intravenous ceftriaxone with complete clinical recovery. The source of infection was most likely the sternal wound which was overlooked during debridement and rewiring surgery.

Original languageEnglish (US)
Article number235862
JournalBMJ Case Reports
Volume13
Issue number8
DOIs
StatePublished - Aug 25 2020

Keywords

  • pericardial disease
  • ultrasonography

ASJC Scopus subject areas

  • Medicine(all)

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