Purulent MRSA Pericarditis Secondary to Chronic Diabetic Foot Osteomyelitis: A Case Report.

Authors

Maya Itani, Gustavo Rivera-Alvarez

Published in

Case reports in infectious diseases. Volume 2026. Pages 7744624. Epub Oct 16, 2026.

Abstract

Purulent pericardial effusion is a rare but life-threatening manifestation of bacterial infection, most commonly caused by Staphylococcus aureus bacteremia. We report the case of an 86-year-old female with chronic diabetic foot osteomyelitis complicated by persistent methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. The patient subsequently developed purulent pericarditis, bilateral exudative pleural effusions, septic shock, and acute renal failure requiring continuous renal replacement therapy (CRRT) after intolerance to intermittent hemodialysis due to refractory hypotension. Despite broad-spectrum antimicrobial therapy and drainage of infected compartments, the patient developed refractory multiorgan failure and expired on hospital Day 26. This case highlights the high mortality associated with purulent pericarditis in the setting of persistent bacteremia and delayed source control.

PMID:
42891352
Bibliographic data and abstract were imported from PubMed on 18 Oct 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.