{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T05:15:02Z","timestamp":1774242902290,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,2,5]]},"abstract":"<jats:p>Pyopericardium is a rare condition with a high mortality rate in which infection propagates in the pericardial space, leading to a pus filled pericardial effusion and cardiac tamponade, which can cause cardiogenic shock and death. We present a case of a previously healthy woman of 52, who was admitted with a severe lower respiratory tract infection that eventually led to a pyopericardium. The diagnosis of pyopericardium was delayed due to masking of symptoms by her underlying infection, sepsis and an upper gastrointestinal bleed that the patient suffered during the admission, requiring an emergency gastroscopy. The pyopericardium was considered when ST elevation was seen on an ECG and an ECHO discovered a large pericardial effusion causing tamponade. An emergency pericardiocentesis drained frank pus. Treatment with intravenous antibiotics, frequent pericardial drainage and a pericardectomy led to an excellent outcome, and a full recovery.<\/jats:p>","DOI":"10.1136\/bcr-2014-207441","type":"journal-article","created":{"date-parts":[[2015,3,3]],"date-time":"2015-03-03T05:56:44Z","timestamp":1425362204000},"page":"bcr2014207441","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["The unmasking of a pyopericardium"],"prefix":"10.1136","volume":"2015","author":[{"given":"Benjamin Robert Syer","family":"Cracknell","sequence":"first","affiliation":[{"name":"James Paget Hospital, Great Yarmouth, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhiraj","family":"Ail","sequence":"additional","affiliation":[{"name":"James Paget Hospital, Great Yarmouth, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,3,3]]},"reference":[{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivs057"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.2","first-page":"149","article-title":"A case of slowly progressive purulent pericarditis in an elderly healthy woman","volume":"2","author":"Kodan","year":"2014","journal-title":"J Gen Pract"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.3","first-page":"519","article-title":"Purulent pericarditis caused by group A streptococcus","volume":"33","author":"Bhaduri-McIntosh","year":"2006","journal-title":"Tex Heart Inst J"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.4","doi-asserted-by":"crossref","first-page":"712","DOI":"10.2459\/JCM.0b013e3283340b97","article-title":"Medical therapy of pericardial diseases: part I: idiopathic and infectious pericarditis","volume":"11","author":"Imazio","year":"2010","journal-title":"J Cardiovasc Med (Hagerstown)"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.5","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.65.765.444"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.6","doi-asserted-by":"publisher","DOI":"10.1177\/175114371201300112"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.7","doi-asserted-by":"publisher","DOI":"10.1016\/S1569-9293(03)00183-X"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.8","first-page":"s26","article-title":"Red blood cell storage and transfusion related immunomodulation","volume":"8","author":"Sparrow","year":"2010","journal-title":"Blood Transfus"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.9","first-page":"398","article-title":"Pericardial tamponade and large pericardial effusions: causal factors and efficacy of percutaneous catheter drainage in 50 patients","volume":"31","author":"Kabukcu","year":"2004","journal-title":"Tex Heart Inst J"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.10","first-page":"1251","article-title":"Echocardiographically guided pericardiocentesis\u2014the gold standard for the management of pericardial effusion and cardiac tamponade","volume":"15","author":"Salem","year":"1999","journal-title":"Can J Cardiol"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.11","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v3.i5.135"},{"key":"2025082723394737000_2015.mar03_1.bcr2014207441.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.1990.tb00761.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207441","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:39:55Z","timestamp":1756363195000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,3]]},"references-count":12,"alternative-id":["10.1136\/bcr-2014-207441"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207441","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,3]]}}}