{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T07:40:48Z","timestamp":1763106048097,"version":"3.41.2"},"reference-count":13,"publisher":"Radcliffe Medical Media Ltd","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/legalcode"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["US Cardiol"],"abstract":"<jats:p>Purulent pericarditis (PPc) is a rare but clinically significant form of pericarditis that is typically associated with severe infection. Diagnosis is made by aspirating purulent fluid from the pericardial space, although cultures or gram stains of this fluid often yield negative results. Early detection and treatment are important in preventing severe complications such as cardiac tamponade, persistent infection, and the need for advanced therapies. This report describes the case of a 56-year-old man with multiple comorbidities, including diabetic ketoacidosis, COVID-19, and methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia, who was diagnosed with PPc after developing early cardiac tamponade and undergoing successful pericardiocentesis.<\/jats:p>","DOI":"10.15420\/usc.2024.43","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T21:40:13Z","timestamp":1739310013000},"source":"Crossref","is-referenced-by-count":1,"title":["Recurrent Idiopathic Methicillin-sensitive Staphylococcus aureus Pericarditis in a Patient with SARS-CoV-2 Infection and Septic Bacteremia: Case Report"],"prefix":"10.15420","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7957-2715","authenticated-orcid":false,"given":"Deitrich","family":"Gerlt","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Methodist Dallas Medical Center, Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Mathai","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Methodist Dallas Medical Center, Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5422-5166","authenticated-orcid":false,"given":"Kristopher","family":"Aten","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Methodist Dallas Medical Center, Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1141-8421","authenticated-orcid":false,"given":"Colin","family":"Ly","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Methodist Dallas Medical Center, Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4428-6525","authenticated-orcid":false,"given":"Matthew","family":"Cali","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center, Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ursa","family":"Petric","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center, Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A Nasser","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Methodist Dallas Medical Center, Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6096","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"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. J Am Coll Cardiol 1993;22:1661\u20135. https:\/\/doi.org\/10.1016\/0735-1097(93)90592-o; PMID:\u00a08227835.","DOI":"10.1016\/0735-1097(93)90592-o"},{"key":"ref1","unstructured":"Adler Y, Charron P, Imazio M, et al. ESC guidelines for the diagnosis and management of pericardial diseases. Eur Heart J 2015;36:2921\u201364. https:\/\/doi.org\/10.1093\/eurheartj\/ehv318; PMID:\u00a026320112"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Rubin RH, Moellering RC. Clinical, microbiologic, and therapeutic aspects of purulent pericarditis. Am J Med 1975;59:68\u201378. https:\/\/doi.org\/10.1016\/0002-9343(75)90323-x; PMID:\u00a01138554.","DOI":"10.1016\/0002-9343(75)90323-x"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Arshad S, Misumida N. Rapid development of methicillin-resistant Staphylococcus aureus (MRSA) purulent pericarditis in the setting of endocarditis. CJC Open 2021;3:1505\u20138. https:\/\/doi.org\/10.1016\/j.cjco.2021.06.020; PMID:\u00a034993462.","DOI":"10.1016\/j.cjco.2021.06.020"},{"key":"ref4","unstructured":"Backes T. Purulent pericarditis due to an infected pacemaker lead. J La State Med Soc 2017;169:51\u20132. PMID:\u00a028414673."},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Bae S, You J, Bae E. A case of MSSA purulent pericardial effusion causing tamponade physiology with no focal source of infection. Chest 2022;162. https:\/\/doi.org\/10.1016\/j.chest.2022.08.418.","DOI":"10.1016\/j.chest.2022.08.418"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Brilliant J, Edwards D, Yadav R, et al. A rare case of MRSA pericarditis with expanding, purulent pericardial effusion leading to uremic kidney failure from a right, necrotic toe. Case Rep Cardiol 2022;2022:7041740. https:\/\/doi.org\/10.1155\/2022\/7041740; PMID:\u00a036345478.","DOI":"10.1155\/2022\/7041740"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Cvetko TT, Ljubic J, Ostricki B. Purulent pericarditis caused by methicillin-sensitive Staphylococcus aureus in an immunocompetent adult after COVID-19 pneumonia: a case report. Eur Heart J Case Rep 2023;7:ytad141. https:\/\/doi.org\/10.1093\/ehjcr\/ytad141; PMID:\u00a037090748.","DOI":"10.1093\/ehjcr\/ytad141"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Gausper A, Shah N, Gupta K, et al. Purulent pericardial effusion with a swinging heart post-SARS-CoV-2 infection: a case report. J Am Coll Cardiol 2023;81:3570. https:\/\/doi.org\/10.1016\/S0735-1097(23)04014-7.","DOI":"10.1016\/s0735-1097(23)04014-7"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Huffman DL, Shnoda M, Shankar K, et al. Idiopathic purulent pericarditis caused by methicillin-sensitive Staphylococcus aureus in an immunocompetent adult. Cureus 2021;13:e14173. https:\/\/doi.org\/10.7759\/cureus.14173; PMID:\u00a033936884.","DOI":"10.7759\/cureus.14173"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Jevtic D, Dumic I, Adam A, et al. Community-associated methicillin-resistant Staphylococcus aureus pericarditis in an immunocompetent patient. IDCases 2022;29:e01583. https:\/\/doi.org\/10.1016\/j.idcr.2022.e01583; PMID:\u00a035912380.","DOI":"10.1016\/j.idcr.2022.e01583"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Kaye A, Peters GA, Joseph JW, Wong ML. Purulent bacterial pericarditis from Staphylococcus aureus. Clin Case Rep 2019;7:1331\u20134. https:\/\/doi.org\/10.1002\/ccr3.2224; PMID:\u00a031360479.","DOI":"10.1002\/ccr3.2224"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Weber DC, Wajahat R. Great toe infection leading to methicillin-sensitive Staphylococcus aureus pericarditis and tamponade. Cureus 2022;14:e32951. https:\/\/doi.org\/10.7759\/cureus.32951; PMID:\u00a036712779.","DOI":"10.7759\/cureus.32951"}],"container-title":["US Cardiology Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.uscjournal.com\/articleindex\/usc.2024.43","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T21:40:17Z","timestamp":1739310017000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.uscjournal.com\/articleindex\/usc.2024.43"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,10]]},"references-count":13,"URL":"https:\/\/doi.org\/10.15420\/usc.2024.43","relation":{},"ISSN":["1758-390X","1758-3896"],"issn-type":[{"type":"electronic","value":"1758-390X"},{"type":"print","value":"1758-3896"}],"subject":[],"published":{"date-parts":[[2025,2,10]]},"article-number":"e03"}}