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Arora NP, Kottam A, Mahajan N, Bhasin B, Krishnamoorthi R, Shenoy M, Afonso LC. Purulent pericardial effusion from community-acquired methicillin-resistant Staphylococcus aureus. The American journal of the medical sciences. 2012 Aug 1; 344(2): 160-2.

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Article

Esophago-pericardial Fistula Induced Community Acquired Methicillin Resistant Staphylococcus Aureus (CA-MRSA) Cardiac Tamponade - A Rare Case Report and Literature Review

1Divisions of Cardiovascular Disease, Endocrinology and Nephrology, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York, U.S.A- 11203

2Department of Internal Medicine, Wake Forest University, Baptist Health System, Winston-Salem, North Carolina, U.S.A-27157

3Division of Cardiology, New York City Health and Hospitals- Kings County Medical center, Brooklyn, New York, U.S.A- 11203

4Hofstra Northwell school of Medicine, Division of Medicine, Hempstead, New York, U.S.A- 11449


American Journal of Medical Case Reports. 2018, Vol. 6 No. 6, 109-113
DOI: 10.12691/ajmcr-6-6-3
Copyright © 2018 Science and Education Publishing

Cite this paper:
Pramod Theetha Kariyanna, Apoorva Jayarangaiah, Ronald Pedalino, Sudhanva Hegde, Jonathan D. Marmur, Aarti Shenoy, Michael Ashamalla, Justina Ray, Samy I. McFarlane. Esophago-pericardial Fistula Induced Community Acquired Methicillin Resistant Staphylococcus Aureus (CA-MRSA) Cardiac Tamponade - A Rare Case Report and Literature Review. American Journal of Medical Case Reports. 2018; 6(6):109-113. doi: 10.12691/ajmcr-6-6-3.

Correspondence to: Samy  I. McFarlane, Divisions of Cardiovascular Disease, Endocrinology and Nephrology, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York, U.S.A- 11203. Email: Samy.mcfarlane@downstate.edu

Abstract

Community acquired methicillin resistant Staphylococcus aureus (CA-MRSA) infection is a matter of public health concern. The incidence of community acquired Staphylococcus aureus (CA-MRSA) is rising. To date only 12 cases of CA-MRSA pericarditis and seven cases of esophageal cancer related purulent pericarditis have been reported. We here present a 54 year old woman who presented with cardiac tamponade that was noted to be purulent and in whom esophagopericardial fistula secondary to squamous cell esophageal cancer was discovered subsequently. Purulent pericardial fluid subsequently grew MRSA. Patient succumbed despite appropriate management with antibiotics.

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