as a fatal complication after endobronchial ultrasound-guided transbronchial needle aspiration.
occurs during the course of bacteremia.
Purulent pericarditis is a rare subset of bacterial pericarditis
that is characterized by gross or microscopic purulence in the pericardium and most commonly develops from direct contiguous spread of an intrathoracic infection (such as pneumonia or mediastinitis) or intracardiac source and less commonly via hematogenous spread.
In developed countries, purulent bacterial pericarditis
is less frequent due to the availability of broad-spectrum antibiotics .
Our review of the literature demonstrates that this is the first reported case of ISCA secondary to bacterial pericarditis
Previously rheumatic fever and bacterial pericarditis
were the most common causes of pericardial effusion.4-6 With the introduction of new immunizations and early use of antibiotics, the proportion of bacterial pericardial effusions may have decreased.7 However bacterial pericarditis
still remains the leading cause in developing world.8 Possible causes may include poor nutrition, delay in the diagnosis and institution of appropriate treatment.
Edwardsiella tarda, a member of the Enterobacteriaceae, was previously reported to cause severe disease in MRC toadfish, characterized by bacterial pericarditis
and multifocal subacute necrosis in several organs.
The first 10 years of my practice have also included a patient with vertebral osteomyelitis, two with primary biliary cirrhosis, one with an atrial myxoma, one with bacterial pericarditis
, one with an ocular melanoma, one with amyloidosis, and one with a dissecting thoracic aneurysm.
However, histopathology was consistent with acute suppurative pericarditis on top of chronic granulomatous inflammation with Langhans-type giant cells and caseation necrosis, indicative of tuberculous pericarditis with superimposed bacterial pericarditis
. AFB culture of the excised pericardial tissue was also positive after two weeks of incubation.
In addition, captive populations of adults have been affected by diseases such as bacterial pericarditis
, Flexibacter sp.
A new disease, bacterial pericarditis
, which is caused by a gram negative bacterium, has caused mortalities in the Marine Resources Center (MRC).