Advertisement
Clinical Communication to the Editor| Volume 131, ISSUE 8, e331-e332, August 2018

Purulent Pneumococcal Pericarditis: An Uncommon Presentation in the Vaccination Era

  • Bruno Ali Lopez Luis
    Correspondence
    Requests for reprints should be addressed to Bruno Ali Lopez Luis, MD, Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan CP 140880, Mexico City, Mexico.
    Affiliations
    Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
    Search for articles by this author
  • Dehydra Monserratt Leon-Tavares
    Affiliations
    Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
    Search for articles by this author
      Since the first years of the acquired immune deficiency syndrome pandemic, those patients presented severe complications of invasive pneumococcal disease, such as recurrent exudative pleural effusion, pyopneumothorax, purpura fulminans, mediastinitis with chest wall abscess, and multiple brain abscesses.
      • Rodriguez Barradas M.C.
      • Musher D.M.
      • Hamill R.J.
      • et al.
      Unusual manifestations of pneumococcal infection in human immunodeficiency virus-infected individuals: the past revisited.
      After the introduction of antiretroviral therapy and vaccination, these manifestations have diminished. However, the human immunodeficiency virus–infected population persists in higher risk.
      • Harboe Z.B.
      • Larsen M.V.
      • Ladelund S.
      • et al.
      Incidence and risk factors for invasive pneumococcal disease in HIV-infected and non-HIV-infected individuals before and after the introduction of combination antiretroviral therapy: persistent high risk among HIV-infected injecting drug users.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Rodriguez Barradas M.C.
        • Musher D.M.
        • Hamill R.J.
        • et al.
        Unusual manifestations of pneumococcal infection in human immunodeficiency virus-infected individuals: the past revisited.
        Clin Infect Dis. 1992; 14: 192-199
        • Harboe Z.B.
        • Larsen M.V.
        • Ladelund S.
        • et al.
        Incidence and risk factors for invasive pneumococcal disease in HIV-infected and non-HIV-infected individuals before and after the introduction of combination antiretroviral therapy: persistent high risk among HIV-infected injecting drug users.
        Clin Infect Dis. 2014; 59: 1168-1176
        • Panel on Opportunistic Infections in HIV-Infected Adults and Adolescents
        Guidelines for the prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: recommendations from the Centers for Disease Control and Prevention, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America.
        (Available at:) (Page H-4)
        • Cronier P.
        • Eugène B.
        • Passefort S.
        • Gryman R.
        A pneumococcal purulent pericarditis revealing a pneumonia and complicated by an acute cardiac tamponade.
        J Cardiol Cases. 2012; 5: e61-e64
        • Tatli E.
        • Buyuklu M.
        • Altun A.
        An unusual complication of pneumococcal pneumonia: acute tamponade due to purulent pericarditis.
        Int J Cardiol. 2007; 119: e1-e3
        • Hästbacka J.
        • Kolho E.
        • Pettilä V.
        Purulent pneumococcal pericarditis: a rarity in the antibiotic era.
        J Crit Care. 2002; 17: 251-254
        • Peters M.N.
        • Hesterman K.S.
        • Katz M.J.
        • et al.
        Primary Streptococcus pneumonia pericarditis.
        Proc (Bayl Univ Med Cent). 2013; 26: 35-38
        • Trpkov C.
        • Moon M.
        • Windram J.
        • Graham M.
        Fulminant pneumococcal pericarditis in a previously healthy patient.
        Can J Cardiol. 2017; 33 (e1-556.e3): 556