Cardiac Tamponade from Purulent Pericarditis due to Cutibacterium acnes

Purulent pericarditis is a potentially fatal disease with high mortality rates if untreated. Cutibacterium acnes (formerly Propionibacterium acnes) is an anaerobic bacteria that is ubiquitous in skin flora and is commonly thought of as a culture contaminant; however, it does have pathogenic potentia...

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Main Authors: Ardalon Farhat-Sabet, Robert Hull, Dustin Thomas
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2018/4739830
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author Ardalon Farhat-Sabet
Robert Hull
Dustin Thomas
author_facet Ardalon Farhat-Sabet
Robert Hull
Dustin Thomas
author_sort Ardalon Farhat-Sabet
collection DOAJ
description Purulent pericarditis is a potentially fatal disease with high mortality rates if untreated. Cutibacterium acnes (formerly Propionibacterium acnes) is an anaerobic bacteria that is ubiquitous in skin flora and is commonly thought of as a culture contaminant; however, it does have pathogenic potential. We present a case of purulent pericarditis secondary to C. acnes leading to cardiac tamponade. Initial stabilization and diagnosis were made via pericardiocentesis; afterward the patient underwent a pericardial window. Due to a severe penicillin allergy, he was successfully treated with a 14-day course of vancomycin. To our knowledge, this represents only the third published case of purulent pericarditis with cardiac tamponade caused by C. acnes and the first case treated with a 14-day course of vancomycin.
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publishDate 2018-01-01
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series Case Reports in Cardiology
spelling doaj-art-8f861524079d49cf9edaa0d552066e682025-02-03T01:23:25ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/47398304739830Cardiac Tamponade from Purulent Pericarditis due to Cutibacterium acnesArdalon Farhat-Sabet0Robert Hull1Dustin Thomas2Department of Internal Medicine, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USADepartment of Cardiology, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USADepartment of Cardiology, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USAPurulent pericarditis is a potentially fatal disease with high mortality rates if untreated. Cutibacterium acnes (formerly Propionibacterium acnes) is an anaerobic bacteria that is ubiquitous in skin flora and is commonly thought of as a culture contaminant; however, it does have pathogenic potential. We present a case of purulent pericarditis secondary to C. acnes leading to cardiac tamponade. Initial stabilization and diagnosis were made via pericardiocentesis; afterward the patient underwent a pericardial window. Due to a severe penicillin allergy, he was successfully treated with a 14-day course of vancomycin. To our knowledge, this represents only the third published case of purulent pericarditis with cardiac tamponade caused by C. acnes and the first case treated with a 14-day course of vancomycin.http://dx.doi.org/10.1155/2018/4739830
spellingShingle Ardalon Farhat-Sabet
Robert Hull
Dustin Thomas
Cardiac Tamponade from Purulent Pericarditis due to Cutibacterium acnes
Case Reports in Cardiology
title Cardiac Tamponade from Purulent Pericarditis due to Cutibacterium acnes
title_full Cardiac Tamponade from Purulent Pericarditis due to Cutibacterium acnes
title_fullStr Cardiac Tamponade from Purulent Pericarditis due to Cutibacterium acnes
title_full_unstemmed Cardiac Tamponade from Purulent Pericarditis due to Cutibacterium acnes
title_short Cardiac Tamponade from Purulent Pericarditis due to Cutibacterium acnes
title_sort cardiac tamponade from purulent pericarditis due to cutibacterium acnes
url http://dx.doi.org/10.1155/2018/4739830
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AT roberthull cardiactamponadefrompurulentpericarditisduetocutibacteriumacnes
AT dustinthomas cardiactamponadefrompurulentpericarditisduetocutibacteriumacnes