A case of non-ST elevation MI with revascularization by PCI complicated by bacterial pericarditis

• DOI: 10.5348/101464z01aa2024cr
• Publication Date: 2024-08-15T06:49:10Z
• Authors: Anderson Ariaga; Felicia Zhang; Pradnya Brijmohan...; Nili Gujadhur
• Keywords: Electronic journal; Elevation (ballistics); ST elevation

Introduction: Pericarditis, an inflammation of the pericardial sac, can stem from various causes, including idiopathic, viral, and infectious origins. While viral idiopathic cases are common in developed countries, tuberculosis is a leading cause developing regions. Purulent bacterial pericarditis usually follows surgery or bacteremia. Post-myocardial infarction (MI) occurs early late phases, latter known as Dressler’s syndrome. This case report presents rare occurrence purulent after percutaneous coronary intervention (PCI). Case Report: Our describes 57-year-old male with artery disease (CAD), hypertension, recent upper respiratory tract infection (URTI) who presented severe left shoulder pain. He was diagnosed acute MI underwent PCI. Post-procedure, he increasing leukocytosis, fever, distress. Despite initial broad-spectrum antibiotics, his condition necessitated further imaging eventually pericardiocentesis, which revealed Methicillin-sensitive Staphylococcus aureus (MSSA) infection. Targeted antibiotic therapy led to clinical improvement. Conclusion: highlights necessity for vigilant differential diagnosis prompt treatment but serious complications such following