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1. Metastatic complications of pericarditis and cardiac tamponade as a result of Staphylococcus aureus bacteremia developing during antimicrobial therapy.

Author

Shih HI, Wu CJ, Chi CY, Lee HC, Yang Lauderdale TL, Lin YT, Lin CC, Lee NY, Chang CM, and Ko WC

Subjects
Adhesins, Bacterial genetics, Aged, Aged, 80 and over, Anti-Bacterial Agents therapeutic use, Bacteremia drug therapy, Bacteremia microbiology, Female, Genes, Bacterial, Humans, Staphylococcal Infections drug therapy, Staphylococcal Infections microbiology, Staphylococcus aureus genetics, Staphylococcus aureus isolation & purification, Staphylococcus aureus pathogenicity, Bacteremia complications, Cardiac Tamponade etiology, Pericarditis etiology, Staphylococcal Infections complications
Abstract

Acute bacterial pericarditis is a rare but devastating complication of Staphylococcus aureus bacteremia (SAB). We herein describe the case of a previously healthy 81-year-old woman with SAB complicated by pericarditis that evolved into cardiac tamponade despite the administration of optimal antimicrobial therapy for 11 days. Three adhesion factor genes, fnbA, clfA and clfB, were identified in the causative isolate.

Published
2013
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