{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T13:54:51Z","timestamp":1785592491192,"version":"3.56.0"},"reference-count":6,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,5]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Purulent pericarditis is a rare infection of the pericardial space defined by the presence of gross pus or microscopic purulence. Here, we present a case of <jats:italic>Streptococcus anginosus<\/jats:italic> purulent pericarditis, leading to obstructive and septic shock. After prompt pericardial drainage, the patient experienced rapid improvement in symptoms. However, due to the presence of a loculated effusion and concern for development of constrictive pericarditis, a pericardial window was performed. Although purulent pericarditis is often fatal, this case illustrates the reduced morbidity following prompt recognition and drainage.<\/jats:p>","DOI":"10.1136\/bcr-2021-245833","type":"journal-article","created":{"date-parts":[[2021,9,21]],"date-time":"2021-09-21T13:09:49Z","timestamp":1632229789000},"page":"e245833","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Purulent pericarditis, an unusual cause of cardiac arrest"],"prefix":"10.1136","volume":"14","author":[{"given":"Kevin","family":"Green","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Pulmonary & Critical Care Medicine, University of Florida Health at Jacksonville, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Rothweiler","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Florida Health at Jacksonville, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barrett","family":"Attarha","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vandana Kavita","family":"Seeram","sequence":"additional","affiliation":[{"name":"Pulmonary\/Critical Care, University of Florida, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,9,21]]},"reference":[{"key":"2025082623090220000_14.9.e245833.1","doi-asserted-by":"crossref","unstructured":"Khan MS , Khan Z , Banglore BS , et al . 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Open Forum Infect Dis 2017;4.doi:10.1093\/ofid\/ofw267","DOI":"10.1093\/ofid\/ofw267"},{"key":"2025082623090220000_14.9.e245833.3","doi-asserted-by":"crossref","first-page":"103-12","DOI":"10.2165\/00129784-200505020-00004","article-title":"Bacterial pericarditis: diagnosis and management","volume":"5","author":"Pankuweit","year":"2005","journal-title":"Am J Cardiovasc Drugs"},{"key":"2025082623090220000_14.9.e245833.4","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/7835420"},{"key":"2025082623090220000_14.9.e245833.5","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1111\/jce.14332","article-title":"Early versus delayed removal of the pericardial drain in patients with cardiac tamponade complicating radiofrequency ablation of atrial fibrillation","volume":"31","author":"Zhao","year":"2020","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2025082623090220000_14.9.e245833.6","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e318194432b"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-245833","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:09:14Z","timestamp":1756274954000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-245833"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":6,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,21]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-245833"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-245833","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}