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European Journal of Cardio-Thoracic Surgery, Vol 9, 468-470, Copyright © 1995 by European Association for Cardio-thoracic Surgery
P Hornick, P Harris and P Smith
A case is reported of a 71-year-old woman who developed cardiac tamponade
as a result of a pyopericardium. The causative organism was Nocardia
asteroides. This is the first reported case in the United Kingdom and only
the 9th to be reported in the world. Despite prior radiological and
echocardiographic investigations, we were unprepared at surgery for the
volume of pus encountered. The dense adhesions, adherent pericardium and
loculations encountered emphasizes the need to explore such patients
surgically. We would advocate vigilance as to the possibility of
pericardial involvement, in any patient contracting Nocardia asteroides
infection. The medical and surgical management of this case is discussed
together with a review of the literature.
ARTICLES
Nocardia asteroides purulent pericarditis
Department of Cardiothoracic Surgery, Hammersmith Hospital, London, UK.
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