Lifesaving pericardiocentesis due to purulent pericarditis with growth of Gram-negative rods in an immune-competent Inuit male
1 Department of Internal Medicine, Queen Ingrid’s Hospital, Nuuk 3900, Greenland
2 Department of Anaesthesiology, Queen Ingrid’s Hospital, Nuuk 3900, Greenland
3 Department of Radiology, Queen Ingrid’s Hospital, Nuuk 3900, Greenland
4 Department of Geriatric Medicine, Aalborg University Hospital, Aalborg 9000, Denmark
5 Arctic Health Research Centre, Institute of Clinical Medicine, Aalborg University Hospital, Aalborg 9210, Denmark
International Journal of Emergency Medicine 2014, 7:21 doi:10.1186/s12245-014-0021-8Published: 9 July 2014
Polymicrobial Gram-negative pericarditis is a rare entity in the immune-competent patient, and purulent pericarditis due to bacteria complicated by tamponade is a life-threatening condition with high mortality rates. A prompt diagnosis and treatment is, as in this case, lifesaving and facilitated by echocardiography but is not the case in rural areas in common. Change in the infectious aetiology indicates broad-spectrum antibiotics. We describe a case of purulent pericarditis causing cardiac tamponade due to haematogenous spread of Escherichia coli (E. coli) and Proteus species in an immune-competent Inuit male treated with pericardiocentesis.