Pericardial Window for Methicillin-Resistant Staphylococcus aureus Pericarditis.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 29932888.
- Also identified by DOI 10.1016/j.athoracsur.2018.05.053.
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Abstract
A 58-year-old man presented with tamponade and underwent an emergency pericardiocentesis. We made the diagnosis of methicillin-resistant Staphylococcus aureus pericarditis based on culture results and treated the patient with pericardial drainage and antibiotics as the first-line therapy. After temporary relief, reaccumulation of effusion developed. We successfully created a pericardial window using thoracotomy, and the patient's postoperative course was uneventful. Methicillin-resistant Staphylococcus aureus pericarditis is an extremely rare and life-threatening illness. No consensus exists concerning the ideal surgical intervention. Creating a pericardial window using thoracotomy can be an effective definitive therapy for methicillin-resistant Staphylococcus aureus pericarditis, especially for patients with significant pericardial adhesions.
Medical subject headings
- Cardiac Tamponade
- Methicillin-Resistant Staphylococcus aureus
- Pericardial Window Techniques
- Pericarditis
- Staphylococcal Infections