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

By:

Sawhney, V

Contributor(s):

Publication details: 2014Uniform titles:

Clinical Medicine

Online resources:

Summary: 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 pericardial mass and cardiac tamponade associated with a Mycoplasma pneumoniae pneumonia. This required emergency pericardial fenestration. The patient improved dramatically postoperatively on antibiotics and there was no recurrence of the pericardial 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 pericardial effusions.

Holdings
Item type	Home library	Collection	Class number	Status	Date due	Barcode
UNKNOWN	Ferriman Information and Library Service (North Middlesex) Online	Staff publications for NMDX		Available

NMUH Staff Publications

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;pericardial&nbsp;mass&nbsp;and cardiac&nbsp;tamponade&nbsp;associated with a Mycoplasma pneumoniae pneumonia. This required emergency&nbsp;pericardial&nbsp;fenestration. The patient improved dramatically postoperatively on antibiotics and there was no recurrence of the&nbsp;pericardial&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;pericardial&nbsp;effusions.

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