HANNA J. ABU-NASSAR, M.D.; ELLARD M. YOW, M.D., F.A.C.P.; JAMES K. ALEXANDER, M.D.; JOHN M. LEWIS, M.D.
In spite of an increasing incidence of staphylococcal infections complicating open-heart surgery (1-11), the occurrence of primary staphylococcal pericarditis has remained extremely rare. Recognition of this complication is often made difficult by the resemblance of many of its clinical features to those of the more common postpericardiotomy syndrome (12). The difficulty in diagnosis is further compounded by the frequent prophylactic use of antimicrobial agents, as well as by the administration of salicylates and corticosteroids in treatment of suspected postpericardiotomy syndrome.
The purpose of this report is to present a case of acute staphylococcal pericarditis complicating mitral annuloplasty and to comment
ABU-NASSAR HJ, YOW EM, ALEXANDER JK, LEWIS JM. Primary Staphylococcal Pericarditis Complicating Cardiotomy: A Report of a Case with a Note on Intrapericardial Methicillin Therapy. Ann Intern Med. 1964;60:135–143. doi: 10.7326/0003-4819-60-1-135
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Published: Ann Intern Med. 1964;60(1):135-143.
Cardiology, Infectious Disease, Pericardial Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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