{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:20Z","timestamp":1756425740027,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,3,3]]},"abstract":"<jats:p>Purulent pericarditis is a rare clinical entity in the modern antibiotic era. The most common portal of entry is thought to be direct extension from a primary lung source and is usually caused by <jats:italic>Staphylococcus aureus<\/jats:italic>, <jats:italic>Streptococcus pneumoniae<\/jats:italic> or <jats:italic>Haemophilus influenzae<\/jats:italic>. We report the case of a man aged 69 years who presented with purulent pericarditis due to <jats:italic>Enterococcus faecalis<\/jats:italic> likely caused by haematogenous spread from a urinary tract source. Urgent pericardiocentesis was vital and restored his haemodynamic stability. He was treated for a total duration of 4\u2005weeks with susceptible antibiotics. Echocardiography 3\u2005weeks later showed persistent resolution of the pericardial effusion. This case shows that prompt diagnosis and drainage of the pericardial effusion are vital to achieve a positive outcome in purulent pericarditis. To the best of our knowledge, this is the first reported case of purulent pericarditis caused by <jats:italic>E. faecalis<\/jats:italic> from a urinary tract source.<\/jats:p>","DOI":"10.1136\/bcr-2017-219498","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T10:50:24Z","timestamp":1489575024000},"page":"bcr2017219498","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Purulent pericarditis as a complication of bacteraemic <i>Enterococcus faecalis<\/i> urinary tract infection"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6433-178X","authenticated-orcid":false,"given":"Fredy","family":"Nehme","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Kansas University School of Medicine\u2014Wichita, Wichita, Kansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Gitau","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kansas University School of Medicine\u2014Wichita, Wichita, Kansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, Kansas University School of Medicine\u2014Wichita, Wichita, Kansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,3,15]]},"reference":[{"key":"2025082722460832000_2017.mar15_1.bcr2017219498.1","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/S0140-6736(04)15648-1","article-title":"Pericarditis","volume":"363","author":"Troughton","year":"2004","journal-title":"Lancet Lond Engl"},{"key":"2025082722460832000_2017.mar15_1.bcr2017219498.2","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2006.131912"},{"key":"2025082722460832000_2017.mar15_1.bcr2017219498.3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(75)90323-X"},{"key":"2025082722460832000_2017.mar15_1.bcr2017219498.4","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(93)90592-O"},{"key":"2025082722460832000_2017.mar15_1.bcr2017219498.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(00)00459-9"},{"key":"2025082722460832000_2017.mar15_1.bcr2017219498.6","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e318194432b"},{"key":"2025082722460832000_2017.mar15_1.bcr2017219498.7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(77)90150-4"},{"key":"2025082722460832000_2017.mar15_1.bcr2017219498.8","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1086\/520169","article-title":"Case of pleuropericardial disease caused by Actinomyces odontolyticus that resulted in cardiac tamponade","volume":"29","author":"Litwin","year":"1999","journal-title":"Clin Infect Dis Off Publ Infect Dis Soc Am"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-219498","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:46:20Z","timestamp":1756359980000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-219498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,15]]},"references-count":8,"alternative-id":["10.1136\/bcr-2017-219498"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-219498","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,3,15]]}}}