Document Detail


Bacterial pericarditis and tamponade due to nonencapsulated Haemophilus influenzae complicating a case of adult community-acquired pneumonia.
MedLine Citation:
PMID:  17415329     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of bacterial pericarditis in an immunologically competent adult female caused by nonencapsulated Haemophilus influenzae (H influenzae) that was complicated by the acute development of life-threatening pericardial tamponade. H influenzae is a gram-negative coccobacillus, a pathogen most frequently associated with childhood exanthema (otitis media, meningitis) and, less frequently, adult pneumonia. Encapsulated, type b, or typable H influenzae is the strain implicated in childhood infections. On the other hand, nonencapsulated or nontypable H influenzae is the specific strain most often associated with exacerbation of chronic obstructive airway disease. Bacterial pericarditis caused by either subtype of H influenzae is exceedingly rare. We have located only 15 previously reported cases of H influenzae pericarditis occurring in adults in the world medical literature, the majority of which date back to the pre-antibiotic era. In 12 of these 15 cases (the only cases in which typing could be accomplished), the encapsulated strain of H influenzae was cultured from the pericardial fluid. Thus, to the best of our knowledge, we are reporting here the first case of bacterial pericarditis caused by nonencapsulated H influenzae in an immunologically competent adult.
Authors:
Praveen Garg; Ruchi Gupta; James E Szalados
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-12-07
Journal Detail:
Title:  MedGenMed : Medscape general medicine     Volume:  8     ISSN:  1531-0132     ISO Abbreviation:  MedGenMed     Publication Date:  2006  
Date Detail:
Created Date:  2007-04-06     Completed Date:  2007-07-18     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100894134     Medline TA:  MedGenMed     Country:  United States    
Other Details:
Languages:  eng     Pagination:  48     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Florida, Jacksonville, USA. Praveen.Garg@jax.ufl.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Anti-Bacterial Agents / pharmacology,  therapeutic use
Cardiac Tamponade / complications,  diagnosis*,  drug therapy
Cardiovascular Infections / complications,  diagnosis*,  drug therapy
Community-Acquired Infections / complications,  diagnosis,  drug therapy
Female
Haemophilus Infections / complications,  diagnosis*,  drug therapy
Haemophilus influenzae* / classification,  drug effects
Humans
Pericarditis / complications,  diagnosis*,  drug therapy
Pneumonia, Bacterial / complications,  diagnosis*,  drug therapy
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents
Comments/Corrections

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