23 April 2015 : Case report
Purulent Pericarditis with Quadruple Valve Endocarditis
Challenging differential diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)Huliyurdurga S. Setty NatrajsettyABEF, Ishwarappa B. VijayalakshmiA, Chitra NarasimhanF, Cholenahalli N. ManjunathAF
Am J Case Rep 2015; 16:236-239
BACKGROUND: Infective endocarditis (IE) is a disease with a highly varied clinical picture. Spread of the infection to the pericardium from the infective endocardium is uncommon and IE involving all 4 cardiac valves is also a very rare occurrence, being more common in intravenous drug users (IVDU).
CASE REPORT: A 7-year-old boy had purulent pericarditis with infective endocarditis (IE) on all 4 cardiac valves and vegetation in the left ventricular and right atrial cavity. Culture of the pericardial fluid grew methicillin-resistant staphylococcus aureus (MRSA) sensitive to tigecycline. The child made a dramatic improvement with tigecycline treatment.
CONCLUSIONS: Aggressive management with pericardiocentesis and appropriate antibiotics can show remarkable clinical improvement. Tigecycline can be used safely and effectively as a life-saving drug in children.
Keywords: Anti-Bacterial Agents - therapeutic use, Child, Diagnosis, Differential, Echocardiography, Endocarditis, Bacterial - ultrasonography, Heart Valve Diseases - ultrasonography, Methicillin-Resistant Staphylococcus aureus - isolation & purification, Pericardiocentesis, Pericarditis - ultrasonography, Staphylococcal Infections - ultrasonography
09 Jun 2023 : Case reportVenous Thoracic Outlet Syndrome with an Upper Extremity Deep Vein Thrombosis Caused by a Dislocated Clavicl...
Am J Case Rep In Press; DOI: 10.12659/AJCR.939250
08 Jun 2023 : Case reportChylothorax: A Tangled Road to Definitive Diagnosis of Non-Hodgkin Lymphoma
Am J Case Rep In Press; DOI: 10.12659/AJCR.939098
06 Jun 2023 : Case reportA Classical Case of Cesarean Scar Endometriosis in a 35-Year-Old Woman Presenting with Cyclical Abdominal P...
Am J Case Rep In Press; DOI: 10.12659/AJCR.940200
05 Jun 2023 : Case reportPeri-Hilar Cystic Lymphangioma Mimicking a Biliary Cystic Lesion Causing Biliary Obstruction: A Case Report...
Am J Case Rep In Press; DOI: 10.12659/AJCR.939421
Most Viewed Current Articles
06 Dec 2021 : Case reportLipedema Can Be Treated Non-Surgically: A Report of 5 Cases
Am J Case Rep 2021; 22:e934406
13 Jul 2022 : Case reportWhistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound
Am J Case Rep 2022; 23:e936441
07 Dec 2021 : Case reportEdwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...
Am J Case Rep 2021; 22:e934347
23 Feb 2022 : Case reportPenile Necrosis Associated with Local Intravenous Injection of Cocaine
Am J Case Rep 2022; 23:e935250