Community-associated Methicillin-resistant Staphylococcus aureus pericarditis in an immunocompetent patient

• DOI: 10.1016/j.idcr.2022.e01583
• Publication Date: 2022-07-26T17:45:49Z
• Authors: Dorde Jevtic; Igor Dumic; Adam Adam; Michel K. Barsoum; Richard D. Hanna; Lawrence J. Sprecher; Marina Antic; Milan Radovanovic
• Keywords: Pericardiocentesis; Pericardial fluid

Pericarditis caused by Methicillin-resistant Staphylococcus aureus (MRSA) is a rare infection, often seen in patients with chronic kidney disease, immunosuppression, or previous pericardial disease. The presentation can be dramatic acute illness leading to septic and/or obstructive shock due tamponade. Occasionally disease have more protracted, indolent, subacute clinical course. We report case of 57-year-old male patient history smoking and moderate alcohol use who presented progressive dyspnea cough. He was found disseminated MRSA infection pericarditis complicated Urgent pericardiocentesis yielded 1.1 liters purulent fluid that grew MRSA. also isolated from the blood pleural fluid. underwent left thoracotomy, decortication, window completed 3 weeks intravenous vancomycin therapy, concluding an excellent outcome. Bacterial exceptionally form which been traditionally associated medical conditions requiring prolonged healthcare stay. However, it has lately observed healthy individuals social habits such as consumption. must recognized timely fashion managed aggressively prevent devastating A multidisciplinary approach advised, includes combination drainage aggressive antibiotic therapy. Such treatment yields positive outcome good long-term prognosis.