Lesson of the month 1: Pericardial mass and cardiac tamponade associated with Mycoplasma pneumoniae

Sawhney, V.

Lesson of the month 1: Pericardial mass and cardiac tamponade associated with Mycoplasma pneumoniae - 2014

NMUH Staff Publications 14

<span style="font-size: 10pt;">Mycoplasma pneumoniae primarily causes respiratory tract infections. Extrapulmonary manifestations are seen in 20-25% of cases. Cardiac involvement is rarely reported. We present a unique case of a&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">pericardial</span>&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">mass</span>&nbsp;and cardiac&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">tamponade</span>&nbsp;associated with a Mycoplasma pneumoniae pneumonia. This required emergency&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">pericardial</span>&nbsp;fenestration. The patient improved dramatically postoperatively on antibiotics and there was no recurrence of the&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">pericardial</span>&nbsp;effusion on follow up. This case highlights the often forgotten invasive properties of a common respiratory tract pathogen and emphasises the need to consider this easily treatable entity in the differential diagnosis of idiopathic&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">pericardial</span>&nbsp;effusions.</span>
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