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Case Report
A case of non-ST elevation MI with revascularization by PCI complicated by bacterial pericarditis
1 Internal Medicine, Vassar Brothers Medical Center, Poughkeepsie, NY, USA
2 Touro College of Osteopathic Medicine, Middletown, NY, USA
3 Cardiovascular Medicine, Saint Vincent Hospital, UMass Chan Medical School, Worcester, MA, USA
4 Infectious Disease, Vassar Brothers Medical Center, Poughkeepsie, NY, USA
Address correspondence to:
Anderson Ariaga
Internal Medicine, Vassar Brothers Medical Center, Poughkeepsie, NY,
USA
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Article ID: 101464Z01AA2024
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Ariaga A, Zhang F, Bhattad PB, Gujadhur N. A case of non-ST elevation MI with revascularization by PCI complicated by bacterial pericarditis. Int J Case Rep Images 2024;15(2):24–28.ABSTRACT
Introduction: Pericarditis, an inflammation of the pericardial sac, can stem from various causes, including idiopathic, viral, and infectious origins. While viral and idiopathic cases are common in developed countries, tuberculosis is a leading cause in developing regions. Purulent bacterial pericarditis usually follows surgery or bacteremia. Post-myocardial infarction (MI) pericarditis occurs in early and late phases, the latter known as Dressler’s syndrome. This case report presents a rare occurrence of purulent bacterial pericarditis after percutaneous coronary intervention (PCI).
Case Report: Our case describes a 57-year-old male with coronary artery disease (CAD), hypertension, and a recent upper respiratory tract infection (URTI) who presented with severe left shoulder pain. He was diagnosed with an acute MI and underwent PCI. Post-procedure, he developed increasing leukocytosis, fever, and respiratory distress. Despite initial broad-spectrum antibiotics, his condition necessitated further imaging and eventually pericardiocentesis, which revealed Methicillin-sensitive Staphylococcus aureus (MSSA) infection. Targeted antibiotic therapy led to his clinical improvement.
Conclusion: This case highlights the necessity for vigilant differential diagnosis and prompt treatment of rare but serious complications such as bacterial pericarditis following PCI.
Keywords: Bacterial pericarditis, Myocardial infarction, Revascularization
SUPPORTING INFORMATION
Author Contributions
Anderson Ariaga - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Felicia Zhang - Drafting the article, Final approval of the version to be published
Pradnya Brijmohan Bhattad - Revising it critically for important intellectual content, Final approval of the version to be published
Nili Gujadhur - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Anderson Ariaga et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
