{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T04:38:34Z","timestamp":1789447114247,"version":"build-2803163510"},"reference-count":5,"publisher":"SMC Media","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>The authors present a case of purulent pericarditis probably secondary to respiratory infection, a rare entity in the antibiotic era. Pericardial fluid analysis identified streptococci and oral anaerobes as the causative agents. A prolonged and complicated diagnostic and therapeutic course, which included a long stay in the intensive care unit, is described, and a review of purulent pericarditis provided. Pericardial effusion, particularly in the setting of concomitant respiratory infection and immunocompromise or other risk factors, should raise the suspicion of bacterial pericarditis and prompt its timely diagnosis and treatment. Purulent pericarditis can be lethal and has potentially severe complications, so adequate antimicrobial therapy and source control are key. \u00a0<\/jats:p>","DOI":"10.12890\/2021_002658","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T03:29:28Z","timestamp":1626233368000},"source":"Crossref","is-referenced-by-count":12,"title":["Purulent Pericarditis: Is It Really a Disease of the Past?"],"prefix":"10.12890","volume":"8","author":[{"given":"Laura","family":"Costa","sequence":"additional","affiliation":[{"name":"Unidade de Cuidados Intensivos Polivalente, Hospital de Braga, Braga, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cardiologia, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabete","family":"Coelho","sequence":"additional","affiliation":[{"name":"Unidade de Cuidados Intensivos Polivalente, Hospital de Braga, Braga, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"Leal","sequence":"additional","affiliation":[{"name":"Unidade de Cuidados Intensivos Polivalente, Hospital de Braga, Braga, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00eds","family":"Lencastre","sequence":"additional","affiliation":[{"name":"Unidade de Cuidados Intensivos Polivalente, Hospital de Braga, Braga, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10397","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"key":"10.12890\/2021_002658_ref1","doi-asserted-by":"crossref","unstructured":"<li>Ferreira dos Santos L, Moreira D, Ribeiro P, Rodrigues B, Correia E, Nunes L, et al. Purulent pericarditis: a rare diagnosis. <em>Rev Port Cardiol<\/em> 2013;<strong>32<\/strong>(9):721\u2013727.<\/li>","DOI":"10.1016\/j.repce.2013.10.010"},{"key":"10.12890\/2021_002658_ref2","doi-asserted-by":"crossref","unstructured":"<li>Sagrist\u00e0-Sauleda J, Barrab\u00e9s JA, Permanyer-Miralda G, Soler-Soler J. Purulent pericarditis: review of a 20-year experience in a general hospital. <em>J Am Coll Cardiol<\/em> 1993;<strong>22<\/strong>(6):1661\u20131665. doi: 10.1016\/0735-1097(93)90592-O<\/li>","DOI":"10.1016\/0735-1097(93)90592-O"},{"key":"10.12890\/2021_002658_ref3","doi-asserted-by":"crossref","unstructured":"<li>Pankuweit S, Risti? AD, Seferovi? PM, Maisch B. Bacterial pericarditis: diagnosis and management. <em>Am J Cardiovasc Drugs<\/em> 2005;<strong>5<\/strong>(2):103\u2013112. doi: 10.2165\/00129784-200505020-00004<\/li>","DOI":"10.2165\/00129784-200505020-00004"},{"key":"10.12890\/2021_002658_ref4","doi-asserted-by":"crossref","unstructured":"<li>Sagrist\u00e0-Sauleda J, Merc\u00e9 J, Permanyer-Miralda G, Soler-Soler J. Clinical clues to the causes of large pericardial effusions. <em>Am J Med<\/em> 2000;<strong>109<\/strong>(2):95\u2013101. doi: 10.1016\/s0002-9343(00)00459-9<\/li>","DOI":"10.1016\/S0002-9343(00)00459-9"},{"key":"10.12890\/2021_002658_ref5","doi-asserted-by":"crossref","unstructured":"<li>Kabbani SS, LeWinter MM. Pericardial diseases. <em>Curr Treat Options Cardiovasc Med<\/em> 2002;<strong>4<\/strong>(6):487\u2013495. doi: 10.1007\/s11936-002-0042-0<\/li>","DOI":"10.1007\/s11936-002-0042-0"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/2658\/2763","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/2658\/2764","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/2658\/2764","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T13:39:51Z","timestamp":1756129191000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/2658"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,14]]},"references-count":5,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.12890\/2021_002658","relation":{"has-manifestation":[{"id-type":"other","id":"1-73-2658-g2763","asserted-by":"subject"},{"id-type":"other","id":"1-73-2658-g2764","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-73","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"value":"2284-2594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,14]]},"article-number":"15"}}