Pyopericardium complicated with cardiac tamponade: an unusual presenting manifestation of primary pyomyositis
- 1 January 2013
- journal article
- Published by SAGE Publications in Tropical Doctor
- Vol. 43 (1), 39-40
- https://doi.org/10.1177/0049475513480774
Abstract
Summary Primary pyomyositis is an infective condition mainly involving the skeletal muscles. Various cardiac complications reported are acute bacterial endocarditis, pyogenic pericarditis, pancarditis and, very rarely, pyopericardium presenting as cardiac tamponade. We report a case of 15-year-old boy presenting with complaints of fever, progressive shortness of breath and retrosternal pleuritic chest pain. He also complained of painful swellings of left arm, left side of neck and left thigh extending up to the knee joint. Ultrasonography showed collections in the: bilateral sternocleidomastoid; subclavius; left thigh muscles; and left knee joint. Echocardiography showed evidence of cardiac tamponade. He underwent emergent pericardiocentesis and frank pus was drained. Pus culture grew Methicillin resistant Staphylococcous aureus. With drainage and the appropriate antibiotics, he improved.Keywords
This publication has 7 references indexed in Scilit:
- Pyopericarditis and tropical pyomyositis: unusual concomitanceAutopsy Case Reports, 2012
- A 31-year-old female with fever and back painJournal of Emergencies, Trauma, and Shock, 2011
- Clinical characteristics and predictors of mortality in 67 patients with primary pyomyositis: a study from North IndiaClinical Rheumatology, 2009
- Tropical pyomyositis (myositis tropicans): current perspectivePublished by Oxford University Press (OUP) ,2004
- Pyomyositis in North America: Case Reports and ReviewClinical Infectious Diseases, 1992
- The changed spectrum of purulent pericarditis: An 86 year autopsy experience in 200 patientsThe American Journal of Medicine, 1977
- Tropical skeletal muscle abscesses (pyomyositis tropicans)British Journal of Surgery, 1963