{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:30:51Z","timestamp":1787009451973,"version":"build-2736575974"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T00:00:00Z","timestamp":1566950400000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A 74-year-old gentleman presented to hospital with a 1-day history of acute onset pleuritic chest pain and fever. He was found to have widespread ST segment elevation on electrocardiogram, and blood cultures taken were positive for Streptococcus pneumoniae. Two days following admission the patient developed dyspnea, and a large pericardial effusion and right middle lobe consolidation were demonstrated on a computed tomography scan of the chest. A transthoracic echocardiogram confirmed the presence of a large circumferential pericardial effusion with multiple prominent adhesions and marked heterogenous thickening of the pericardium, without evidence of tamponade. Pericardiocentesis drained a purulent exudate positive for pneumococcal antigen. The occurrence of purulent pericarditis secondary to pneumococcal community-acquired pneumonia is rare in the modern antibiotic era and represents an often-lethal manifestation of invasive pneumococcal disease (IPD). IPD is a vaccine-preventable illness for which adult vaccination rates are low despite high morbidity. Healthcare professionals need to vaccinate older patients opportunistically.<\/jats:p>","DOI":"10.1093\/omcr\/omz078","type":"journal-article","created":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T13:54:35Z","timestamp":1567000475000},"source":"Crossref","is-referenced-by-count":4,"title":["Purulent pneumococcal pericarditis, a vaccine-preventable illness"],"prefix":"10.1093","volume":"2019","author":[{"given":"Matthew J","family":"Rees","sequence":"first","affiliation":[{"name":"Department of Haematology, The Austin Hospital, Heidelberg, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St Vincent\u2019s Hospital Melbourne, Fitzroy, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,8,29]]},"reference":[{"key":"2019091012494227700_ref1","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/0002-9343(75)90323-X","article-title":"Clinical, microbiologic and therapeutic aspects of purulent pericarditis","volume":"59","author":"Rubin","year":"1975","journal-title":"Am J Med"},{"key":"2019091012494227700_ref2","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1016\/0002-9343(77)90150-4","article-title":"The changed spectrum of purulent pericarditis: an 86 year autopsy experience in 200 patients","volume":"63","author":"Klacsmann","year":"1977","journal-title":"Am J Med"},{"key":"2019091012494227700_ref3","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1093\/eurheartj\/ehv318","article-title":"2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) endorsed by: the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"36","author":"Adler","year":"2015","journal-title":"Eur Heart J"},{"key":"2019091012494227700_ref4","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.1016\/0735-1097(93)90592-O","article-title":"Purulent pericarditis: review of a 20-year experience in a general hospital","volume":"22","author":"Sagrista-Sauleda","year":"1993","journal-title":"J Am Coll Cardiol"},{"key":"2019091012494227700_ref5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1086\/648593","article-title":"Sustained reductions in invasive pneumococcal disease in the era of conjugate vaccine","volume":"201","author":"Pilishvili","year":"2010","journal-title":"J Infect Dis"},{"key":"2019091012494227700_ref6","doi-asserted-by":"crossref","first-page":"e51","DOI":"10.1016\/S2214-109X(16)30306-0","article-title":"Indirect effects of childhood pneumococcal conjugate vaccination on invasive pneumococcal disease: a systematic review and meta-analysis","volume":"5","author":"Shiri","year":"2017","journal-title":"Lancet Glob Health"},{"key":"2019091012494227700_ref7","doi-asserted-by":"crossref","first-page":"396","DOI":"10.5694\/mja16.01102","article-title":"Determining the contribution of Streptococcus pneumoniae to community-acquired pneumonia in Australia","volume":"207","author":"Yin","year":"2017","journal-title":"Med J Aust"},{"key":"2019091012494227700_ref8","doi-asserted-by":"crossref","first-page":"e0169368","DOI":"10.1371\/journal.pone.0169368","article-title":"Effectiveness of the 23-valent pneumococcal polysaccharide vaccine (PPV23) against pneumococcal disease in the elderly: systematic review and meta-analysis","volume":"12","author":"Falkenhorst","year":"2017","journal-title":"PLoS One"},{"key":"2019091012494227700_ref9","first-page":"2018","article-title":"Pneumococcal polysaccharide vaccine (PPV) coverage report, England, April 2017 to March 2018","author":"Public Health England"},{"key":"2019091012494227700_ref10","first-page":"2011","article-title":"Adult vaccination survey: summary results (AIHW Cat. No. PHE 135)","author":"Australian Institute of Health and Welfare","year":"2009"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/omcr\/article-pdf\/2019\/8\/omz078\/29549064\/omz078.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,10]],"date-time":"2019-09-10T14:20:47Z","timestamp":1568125247000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omz078\/5554945"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,1]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,8,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omz078","relation":{},"ISSN":["2053-8855"],"issn-type":[{"value":"2053-8855","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,8]]},"published":{"date-parts":[[2019,8,1]]},"article-number":"omz078"}}