02523nas a2200253 4500008004100000024000700041245016500048210006900213260001700282300001400299490000700313520163100320653003401951653002601985653002102011653002602032100002802058700003302086700002802119700003102147700002302178700002802201856004002229 2022 eng d a2500aSuccessful Intrapericardial Fibrinolysis on Acute Recurrent Purulent Pericarditis with Impending Cardiac Tamponade during Pandemic Situation: A Rare Case Report0 aSuccessful Intrapericardial Fibrinolysis on Acute Recurrent Puru cJanuary 2023 a1033-10360 v143 a

Introduction: Acute recurrent purulent pericarditis is an uncommon pericardium infection that can be life-threatening due to pus production, leading to cardiac tamponade. Case presentation: We report a 36-year-old man referring to our hospital with impending cardiac tamponade who needed urgent pericardiocentesis. The patient's complaints were worsening dyspnea and palpitations in the last two days. The patient had been hospitalized for the same complaint and had pericardiocentesis due to cardiac tamponade approximately three weeks earlier. Physical exam, ECG, and CXR suggest impending cardiac tamponade. Echocardiography indicated massive right and left pericardial effusion and right atrial collapse. The Covid-19 screening test was positive; however, RT-PCR revealed a negative result. The patient was diagnosed with recurrent acute purulent pericarditis with impending cardiac tamponade requiring urgent pericardiocentesis. After the procedure, 1.5 million units of intrapericardial fibrinolytic were administered to patients. His improved hemodynamic and clinical symptoms indicate a successful procedure. Conclusion: This case highlights the challenges of managing an acute recurrent purulent pericarditis patient due to Staphylococcus A. infection in the current pandemic era, including distinguishing it from other contagious diseases due to nonspecific dyspnea, limited therapeutic options, and the effectiveness of intrapericardial fibrinolytic in improving the overall patient conditions, and reducing the mortality rate.

10aIntrapericardial fibrinolysis10aPurulent pericarditis10aRare Case Report10aStaphylococcus aureus1 aPratama, Muhammad, Dedy1 aDharmadjati, Budi, Baktijasa1 aAmadis, Muhammad, Rafdi1 aRaharja, Ahmad, Faisal Dwi1 aRamadhan, Muhammad1 aFirmanda, Dwika, Rasyid uhttps://www.phcogj.com/article/1946