{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T01:34:59Z","timestamp":1768440899512,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Infective endocarditis can present with a wide range of cardiac and extra\u2010cardiac symptoms. However, purulent pericarditis as a presenting sign has rarely been documented in the literature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Description<\/jats:title><jats:p>We present a case of a 47\u2010year\u2010old woman on hemodialysis who presented to the emergency department due to dyspnea and edema in her lower extremities. A chest X\u2010ray revealed an enlarged cardiac silhouette, while a computed tomography (CT) scan showed a large pericardial effusion. A transthoracic echocardiogram indicated vegetation on the tricuspid valve and pericardial effusion, with echocardiographic signs of cardiac tamponade. Emergent drainage of the pericardial space was performed, during which purulent material was obtained. Methicillin\u2010resistant <jats:styled-content style=\"fixed-case\">\n<jats:italic>Staphylococcus aureus<\/jats:italic>\n<\/jats:styled-content> was identified in blood cultures collected upon admission and in the cultures from the pericardial effusion. The patient received intensive antibiotic therapy; however, despite the treatment and after a complicated hospital course, she succumbed to the illness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Diagnosing purulent pericarditis in hemodialysis patients with infective endocarditis requires a high level of suspicion because typical symptoms of pericarditis are uncommon, and there is a tendency to initially attribute nonspecific constitutional symptoms to the underlying infection itself. Aggressive treatment with pericardial drainage and appropriate antibiotic therapy may prevent catastrophic outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hdi.13219","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T01:41:53Z","timestamp":1741743713000},"page":"414-418","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Purulent Pericarditis as an Initial Manifestation of Infective Endocarditis in a Hemodialysis Patient: A Case Report"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1842-2554","authenticated-orcid":false,"given":"Abraham Edgar","family":"Gracia\u2010Ramos","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Hospital General, Centro M\u00e9dico Nacional La Raza, Instituto Mexicano del Seguro Social  Mexico City Mexico"},{"name":"Department of Internal Medicine Hospital Regional de Alta Especialidad de Zumpango  Zumpango de Ocampo Estado de M\u00e9xico Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Cort\u00e9s\u2010Ort\u00edz","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hospital Regional de Alta Especialidad de Zumpango  Zumpango de Ocampo Estado de M\u00e9xico Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilio","family":"Morales\u2010Flores","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Hospital Regional de Alta Especialidad de Zumpango  Zumpango de Ocampo Estado de M\u00e9xico Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lourdes Alejandra","family":"Quintero\u2010Arias","sequence":"additional","affiliation":[{"name":"Department of Pathology Hospital Regional de Alta Especialidad de Zumpango  Zumpango de Ocampo Estado de M\u00e9xico Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)01098-5"},{"key":"e_1_2_8_3_1","first-page":"519","article-title":"Infective Endocarditis in Patients Receiving Hemodialysis: A Current Review","volume":"10","author":"Ding U.","year":"2024","journal-title":"Kidney 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