Purulent Pericarditis Caused by Bacteroides fragilis: A Rare Complication of Cholangitis

Samer Saouma, Peter C. Olson, Asif Uddin, Jonathan Spagnola, Neville Mobarakai, James C. Lafferty


Bacterial infection is a rare cause of pericarditis especially in the post-antibiotic era. When compared to viral or idiopathic etiologies, purulent pericarditis carries a higher risk for complications. While most cases are due to Staphylococcus aureus, we present a rare case of pericarditis due to Bacteroides fragilis originating from a liver abscess and leading to pericardial effusion. Our case highlights the need to maintain a high clinical suspicion of bacterial infection when patients present with sepsis and have evidence of pericarditis.

Cardiol Res. 2019;10(5):309-311
doi: https://doi.org/10.14740/cr904


Tamponade; Purulent pericarditis; Cholangitis; Liver abscess; Bacteroides

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